<Unavail>

LBN: Fairfax County, Virginia
<Unavail> is an health care organization with primary practice located at 12011 Government Center Pkwy Suite 836, Fairfax VA 22035-1100. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Fairfax County, Virginia can be contacted via phone (703) 324-7000, or through Washington, Daryl via phone (703) 324-7000.

Contact Information

Primary practice address
12011 Government Center Pkwy Suite 836 Fairfax VA 22035-1100
Phone: (703) 324-7000
Fax: (703) 324-7092
Website:
Map and Directions
Authorized official contact:
Name: Washington, Daryl
Phone: (703) 324-7000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 113 Virginia

Profile Details

NPI number 1174558266
LBN Legal business name Fairfax County, Virginia
DBA Doing business as <Unavail>
Authorized official Washington, Daryl
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 1st, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174558266 NPPES
Virginia MEDICAID 004945620

Popular Providers