FAIRFAX CONVENIENT CARE LLC NPI 1760661391

NPI Information

NPI: 1760661391
Provider Name: FAIRFAX CONVENIENT CARE LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
8301 ARLINGTON BLVD
SUITE 100
FAIRFAX, VA
ZIP 22031
Phone: (703) 849-0900
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FAIRFAX CONVENIENT CARE LLC is a general practice in Fairfax, VA. FAIRFAX CONVENIENT CARE LLC NPI is 1760661391. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8301 ARLINGTON BLVD
SUITE 100
FAIRFAX, VA
ZIP 22031-902
Phone: (703) 849-0900
Fax: (703) 208-7444

The provider's authorized official is Rudy H Juburi .
The authorized official title is President and has the following contact phone number (703) 849-0900.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 11/25/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G02804	MEDICARE PIN	DISTRICT OF COLUMBIA
2	DN6020	MEDICARE PIN	DISTRICT OF COLUMBIA

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: 11/14/2023

NPI Synchronization or Removal

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