Healthcare Provider Details

I. General information

NPI: 1528222957
Provider Name (Legal Business Name): PROGRESSIVE HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 01/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 G ST NE STE 460
WASHINGTON DC
20002-4298
US

IV. Provider business mailing address

10 G ST NE STE 460
WASHINGTON DC
20002-4298
US

V. Phone/Fax

Practice location:
  • Phone: 202-548-0588
  • Fax: 202-548-0589
Mailing address:
  • Phone: 202-548-0588
  • Fax: 202-548-0589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberN/A
License Number StateDC

VIII. Authorized Official

Name: MR. KEN T MCLAUGHLIN
Title or Position: PRESIDENT
Credential:
Phone: 202-548-0588