Provider Demographics
NPI:1740317288
Name:WASHINGTON HOSPTIAL CENTER
Entity type:Organization
Organization Name:WASHINGTON HOSPTIAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:BALDWIN
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:202-877-6781
Mailing Address - Street 1:2111 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-4227
Mailing Address - Country:US
Mailing Address - Phone:301-218-1292
Mailing Address - Fax:202-877-8118
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:202-877-6781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN 1002426282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access