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Potomac Hospital Corporation Of Prince William
Clinic/Center in Lake Ridge, Virginia
NPI 1366718215

Potomac Hospital Corporation Of Prince William is a Clinic/Center based in Lake Ridge, VA. Potomac Hospital Corporation Of Prince William practices in Lake Ridge, VA. The NPI Number for Potomac Hospital Corporation Of Prince William is 1366718215 and holds a License No. (Virginia).

The current practice location address for Potomac Hospital Corporation Of Prince William is 12825 Minnieville Road, Lake Ridge, VA and can be reached out via phone at 703-523-9800.

Location: 12825 Minnieville Road, Lake Ridge, VA, 22192-9998
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366718215
Provider Name
Potomac Hospital Corporation Of Prince William
Credential
Provider Entity Type
Organization
Address
12825 Minnieville Road, Lake Ridge, VA, 22192-9998
Phone Number
703-523-9800
Fax Number
Provider Enumeration Date
03/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12825 Minnieville Road
City
Lake Ridge
State
Virginia
Zip
22192-9998
Phone Number
703-523-9800
Fax Number
person
Provider Business Mailing Address Details
Address
12825 Minnieville Road
City
Lake Ridge
State
Virginia
Zip
22192-9998
Phone Number
703-523-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Virginia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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