Provider Demographics
NPI: | 1285950261 |
---|---|
Name: | WASHINGTON HOSPITAL CENTER |
Entity type: | Organization |
Organization Name: | WASHINGTON HOSPITAL CENTER |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PA-C |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | JING |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | WANG |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 202-251-1592 |
Mailing Address - Street 1: | 110 IRVING STREET, NW 2B-4 |
Mailing Address - Street 2: | WASHINGTON HOSPITAL CENTER |
Mailing Address - City: | WASHINGTON |
Mailing Address - State: | DC |
Mailing Address - Zip Code: | 20010 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 202-877-3045 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 110 IRVING ST NW # 2B-4 |
Practice Address - Street 2: | WASHINGTON HOSPITAL CENTER |
Practice Address - City: | WASHINGTON |
Practice Address - State: | DC |
Practice Address - Zip Code: | 20010-3017 |
Practice Address - Country: | US |
Practice Address - Phone: | 202-877-3045 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-04-15 |
Last Update Date: | 2010-04-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
DC | PA030609 | 282N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 282N00000X | Hospitals | General Acute Care Hospital |