Provider Demographics
NPI:1023179124
Name:GEORGETOWN UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:GEORGETOWN UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEMOPHILIA RESEARCH COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:FRANCISC
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CNP, MS
Authorized Official - Phone:202-687-0117
Mailing Address - Street 1:3123 7TH ST S
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-2407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3123 7TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-2407
Practice Address - Country:US
Practice Address - Phone:703-271-9454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN34690261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC005447G93Medicare ID - Type Unspecified
DCS92430Medicare UPIN