Provider Demographics
NPI:1265577274
Name:WASHINGTON HOSPITAL CENTER
Entity type:Organization
Organization Name:WASHINGTON HOSPITAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY FRANCES
Authorized Official - Middle Name:B
Authorized Official - Last Name:KENNY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:703-356-2440
Mailing Address - Street 1:1428 LADY BIRD DR
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3227
Mailing Address - Country:US
Mailing Address - Phone:703-356-2440
Mailing Address - Fax:
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2976
Practice Address - Country:US
Practice Address - Phone:202-877-5153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN47864282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access