Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phs Center for Life SC 2nd Floor

Organization Obstetrics & Gynecology Physician · NPI 1831467356

Phs Center for Life SC 2nd Floor is an Obstetrics & Gynecology Physician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2011.

Licensed in
DC
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

1150 Varnum St NE St Catherine's Hall 2nd Fl
Washington, DC 20017-2107
Phone: (202) 269-7074
Fax: (202) 372-0026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence HFD01-0212 (DC)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence HFD01-0212 (DC)
General Acute Care Hospital Taxonomy 282N00000X · Licence HFD01-0212 (DC)

Record details

NPI number1831467356
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Beau Higginbotham — Vp · (410) 368-3162
Other names Providence Health Services
NPI enumeratedDecember 12, 2011
Last updated in NPPESJuly 21, 2022
Mailing address1150 Varnum St Ne Rm 102, Washington, DC 20017-2104

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