Healthcare Provider Details

I. General information

NPI: 1336303999
Provider Name (Legal Business Name): HOWARD UNIVERSITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 05/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW
WASHINGTON DC
20060-0001
US

IV. Provider business mailing address

215 OAKWOOD TERRACE CT
BALLWIN MO
63021-8358
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-6100
  • Fax: 202-745-3731
Mailing address:
  • Phone: 636-527-3406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD LEE
Title or Position: PROFESSOR
Credential: M.D.
Phone: 202-806-6306