Provider Demographics
| NPI: | 1285950261 |
|---|---|
| Name: | WASHINGTON HOSPITAL CENTER |
| Entity type: | Organization |
| Organization Name: | WASHINGTON HOSPITAL CENTER |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PA-C |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | JING |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | WANG |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 202-251-1592 |
| Mailing Address - Street 1: | 110 IRVING STREET, NW 2B-4 |
| Mailing Address - Street 2: | WASHINGTON HOSPITAL CENTER |
| Mailing Address - City: | WASHINGTON |
| Mailing Address - State: | DC |
| Mailing Address - Zip Code: | 20010 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 202-877-3045 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 110 IRVING ST NW # 2B-4 |
| Practice Address - Street 2: | WASHINGTON HOSPITAL CENTER |
| Practice Address - City: | WASHINGTON |
| Practice Address - State: | DC |
| Practice Address - Zip Code: | 20010-3017 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 202-877-3045 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2010-04-15 |
| Last Update Date: | 2010-04-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| DC | PA030609 | 282N00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 282N00000X | Hospitals | General Acute Care Hospital |