Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Hospital

Organization Emergency Medicine Physician · NPI 1861954638

Providence Hospital is an Emergency Medicine Physician in Washington, District of Columbia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
6

Practice location Address checks out

1150 Varnum St NE
Washington, DC 20017-2180
Phone: (202) 854-7001
Fax: (202) 854-7990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Clinic/Center Taxonomy 261Q00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1861954638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Furniss — Sr Vp Finance/Cfo · (202) 854-7169
Other names Providence Urgent Care Center
NPI enumeratedApril 2, 2019
Last updated in NPPESJanuary 4, 2021
Certification dateJanuary 4, 2021
Mailing address1150 Varnum St Ne, Washington, DC 20017-2180

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