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FAIRFAX URGENT CARE LLC NPI 1376823237


NPI Information

NPI: 1376823237
Provider Name: FAIRFAX URGENT CARE LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 49D2035233

Address:
8191 STRAWBERRY LN
4
FALLS CHURCH, VA
ZIP 22042
Phone: (703) 658-2650
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FAIRFAX URGENT CARE LLC is a general practice in Falls Church, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee FAIRFAX URGENT CARE LLC NPI is 1376823237. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8191 STRAWBERRY LN
4
FALLS CHURCH, VA
ZIP 22042-031
Phone: (703) 658-2650

The provider's authorized official is Ambrish Gupta .
The authorized official title is Manager and has the following contact phone number (703) 658-2650.

The CLIA number assigned to this NPI record is 49D2035233 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2011 and was last updated on 11/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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