institution
Fairfax County, Virginia
Multi-Specialty Clinic/Center in Fairfax, Virginia
NPI 1154356244

Fairfax County, Virginia is a Multi-Specialty Clinic/Center based in Fairfax, VA and is specialized in Multi-Specialty. Fairfax County, Virginia practices in Fairfax, VA. The NPI Number for Fairfax County, Virginia is 1154356244 and holds a License No. (Virginia).

The current practice location address for Fairfax County, Virginia is 12011 Government Center Parkway, Fairfax, VA and can be reached out via phone at 703-324-7000 and via fax at 703-653-6626.

Location: 12011 Government Center Parkway, Fairfax, VA, 22035
institution
Provider Profile Details
NPI Number
1154356244
Provider Name
Fairfax County, Virginia
Credential
Provider Entity Type
Organization
Address
12011 Government Center Parkway, Fairfax, VA, 22035
Phone Number
703-324-7000
Fax Number
703-653-6626
Provider Enumeration Date
07/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
222044 01 VA ANTHEM
010200229 05 VA
MHSS 01 VA AMERIGROUP
004945107 05 VA
010200270 05 VA
5700 01 CAREFIRST BCBS NCA
008743126 05 VA
010200181 05 VA
541705851 01 TRICARE
institution
Provider Business Practice Location Address Details
Address
12011 Government Center Parkway
City
State
Zip
22035
Phone Number
703-324-7000
Fax Number
703-653-6626
person
Provider Business Mailing Address Details
Address
12011 Government Center Parkway
City
State
Zip
22035
Phone Number
703-324-7000
Fax Number
703-653-6626
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
113 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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