Dominion Family Health, Plc

LBN: Dominion Family Health, Plc
Dominion Family Health, Plc is an health care organization with primary practice located at 5800 Mapledale Plz , Dale City VA 22193-4535. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dominion Family Health, Plc can be contacted via phone (703) 670-0067, or through Malloy, Lisa Kimberly via phone (703) 670-0067.

Contact Information

Primary practice address
5800 Mapledale Plz Dale City VA 22193-4535
Phone: (703) 670-0067
Fax: (703) 670-0301
Website:
Map and Directions
Authorized official contact:
Name: Malloy, Lisa Kimberly Doctor of Medicine (MD)
Phone: (703) 670-0067

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101226862 Virginia

Profile Details

NPI number 1952463606
LBN Legal business name Dominion Family Health, Plc
DBA Doing business as
Authorized official Malloy, Lisa Kimberly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Mar 3rd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952463606 NPPES
Virginia Other 1295729341 NPI
Virginia MEDICAID 010031605 NPI

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