Provider Demographics
NPI:1184785958
Name:HOWARD UNIVERSITY HOSPITAL
Entity type:Organization
Organization Name:HOWARD UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR, REVENUE STRAT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:MAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-865-3623
Mailing Address - Street 1:2041 GEORGIA AVE NW
Mailing Address - Street 2:TOWER BUILDING SUITE 6125
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-4803
Mailing Address - Fax:
Practice Address - Street 1:2041 GEORGIA AVE NW
Practice Address - Street 2:TOWER BUILDING SUITE 6125
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:202-865-3623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0376123Medicaid
SC145357Medicaid
NC9900003Medicaid
FL0911956600Medicaid
GA00281608XMedicaid
MD005205100Medicaid
VA009810251Medicaid
DC029848900Medicaid
NY2663096Medicaid
VA009810251Medicaid