Healthcare Provider Details

I. General information

NPI: 1710991583
Provider Name (Legal Business Name): WASHINGTON HOSPITAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 08/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW ATTN: PHYSICIANS BILLING
WASHINGTON DC
20010-2976
US

IV. Provider business mailing address

110 IRVING ST NW ATTN: PHYSICIANS BILLING
WASHINGTON DC
20010-2976
US

V. Phone/Fax

Practice location:
  • Phone: 301-209-5484
  • Fax: 301-209-5656
Mailing address:
  • Phone: 301-209-5484
  • Fax: 301-209-5656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberHFD01-0210
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberHFD01-0210
License Number StateDC

VIII. Authorized Official

Name: MISS JANIS M. ORLOWSKI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 202-877-5248