FAIRFAX COUNTY VIRGINIA NPI 1154356244

NPI Information

NPI: 1154356244
Provider Name: FAIRFAX COUNTY, VIRGINIA

Doing Business As: FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
12011 GOVERNMENT CENTER PARKWAY
SUITE 836
FAIRFAX, VA
ZIP 22035
Phone: (703) 324-7000
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FAIRFAX COUNTY, VIRGINIA is a mental health (including community mental health center) clinic center in Fairfax, VA. FAIRFAX COUNTY, VIRGINIA NPI is 1154356244. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairfax-falls Church Community Services Board.

The provider's business location address is:

12011 GOVERNMENT CENTER PARKWAY
SUITE 836
FAIRFAX, VA
ZIP 22035
Phone: (703) 324-7000
Fax: (703) 653-6626

The provider's authorized official is Daryl Washington .
The authorized official title is Executive Director and has the following contact phone number (703) 324-7000.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 10/1/2020.

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	261QM1300X	Clinic/Center	Multi-Specialty	113	VIRGINIA	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	541705851	OTHER		TRICARE
2	004945107	MEDICAID	VIRGINIA
3	MHSS	OTHER	VIRGINIA	AMERIGROUP
4	010200229	MEDICAID	VIRGINIA
5	5700	OTHER		CAREFIRST BCBS NCA
6	008743126	MEDICAID	VIRGINIA
7	222044	OTHER	VIRGINIA	ANTHEM
8	010200181	MEDICAID	VIRGINIA
9	010200270	MEDICAID	VIRGINIA

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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