Healthcare Provider Details
I. General information
NPI: 1477654978
Provider Name (Legal Business Name): WASHINGTON HOSPITAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2006
Last Update Date: 08/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 IRVING ST NW
WASHINGTON DC
20010-2976
US
IV. Provider business mailing address
110 IRVING ST NW ATTN: MEDICAL AFFAIRS
WASHINGTON DC
20010-2976
US
V. Phone/Fax
- Phone: 202-877-7000
- Fax: 301-209-5612
- Phone: 202-877-7000
- Fax: 301-209-5612
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | HFD01-0210 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | HFD01-0210 |
| License Number State | DC |
VIII. Authorized Official
Name: MRS.
JANIS
M.
ORLOWSKI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 202-877-5284