Fairfax Nursing Center, Inc

LBN: Fairfax Nursing Center, Inc
Fairfax Nursing Center, Inc is an health care organization with primary practice located at 10701 Main St , Fairfax VA 22030-6904. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Fairfax Nursing Center, Inc can be contacted via phone (703) 273-7705, or through Carlson, Renee Bainum via phone (703) 273-7705.

Contact Information

Primary practice address
10701 Main St Fairfax VA 22030-6904
Phone: (703) 273-7705
Fax: (703) 273-9066
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Renee Bainum
Phone: (703) 273-7705

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH2552 Virginia

Profile Details

NPI number 1386636116
LBN Legal business name Fairfax Nursing Center, Inc
DBA Doing business as
Authorized official Carlson, Renee Bainum
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2005
Last updated Aug 7th, 2015 - about 11 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 1386636116 NPPES
Virginia Other 442051 ANTHEM BC/BS PROVIDER NO.
Virginia Other 0573480001 ANTHEM BC/BS PROVIDER NO.
Virginia MEDICAID 004950992 ANTHEM BC/BS PROVIDER NO.

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