OrganizationActive
Providence Health Services, Inc
NPI 1730690801 · Radiology Clinic/Center · Washington, DC
Provider details
- NPI number
- 1730690801
- Entity type
- Organization
- Primary specialty
- Radiology 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
Practice location
765 Kenilworth Ter Ne
Washington, DC 20019-1898
Phone: (202) 299-1796
Fax: (202) 388-8164
Approximate (ZIP-level) locationGet directions
Mailing address
1150 Varnum St Ne
Washington, DC 20017-2104
Other names (DBA / former)
- Doing business as
- Phs Unity Healthcare Parkside Radiology
Registry dates
- Enumerated
- 2017-10-17
- Last updated
- 2017-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.