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BELITE MEDICAL CENTER NPI 1124407135


NPI Information

NPI: 1124407135
Provider Name: BELITE MEDICAL CENTER
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
3923 OLD LEE HWY
61 A
FAIRFAX, VA
ZIP 22030
Phone: (703) 359-9202
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BELITE MEDICAL CENTER is a medical specialty clinic center in Fairfax, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). BELITE MEDICAL CENTER NPI is 1124407135. The provider is registered as an organization entity type.

The provider's business location address is:

3923 OLD LEE HWY
61 A
FAIRFAX, VA
ZIP 22030-428
Phone: (703) 359-9202

The provider's authorized official is Michelle Wolfe Mayer .
The authorized official title is Nurse Practitioner and has the following contact phone number (202) 557-8138.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 5/22/2015.


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
1261QM2500XClinic/CenterMedical Specialty0017136984VIRGINIAYes

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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