OrganizationActive
Providence Health Services, Inc
NPI 1679087365 · Occupational Medicine Clinic/Center · Washington, DC
Provider details
- NPI number
- 1679087365
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Providence Hospital
- Organization subpart
- Yes
- Authorized official
- Beau Higginbothan, Vice President/Coo(410) 368-3162
- License
- HFD01-0212 (DC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1150 Varnum St Ne
Washington, DC 20017-2104
Phone: (202) 854-4478
Fax: (202) 854-4487
Street-level locationGet directions
Mailing address
1150 Varnum St Ne
Washington, DC 20017-2104
Other names (DBA / former)
- Doing business as
- Phs Occupational Health/Wellness
Registry dates
- Enumerated
- 2017-11-17
- Last updated
- 2017-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.