REGIONAL HEALTH PROVIDERS LLC NPI 1154898997

NPI Information

  • NPI: 1154898997
  • Provider Name: REGIONAL HEALTH PROVIDERS LLC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • CLIA Number: 49D2171677
  • Address: 3917 OLD LEE HWY STE 11D
    FAIRFAX, VA
    ZIP 22030
  • Phone: (703) 691-4000

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NPI Details

REGIONAL HEALTH PROVIDERS LLC is an addiction medicine family medicine in Fairfax, VA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. REGIONAL HEALTH PROVIDERS LLC NPI is 1154898997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3917 OLD LEE HWY STE 11D
FAIRFAX, VA
ZIP 22030-431
Phone: (703) 691-4000
Fax: (703) 691-4010

The provider's authorized official is Evelyn Loch .
The authorized official title is Credentialing Billing Manager and has the following contact phone number (703) 249-9079.

The CLIA number assigned to this NPI record is 49D2171677 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2018 and was last updated on 10/31/2018.

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
1207QA0401XFamily MedicineAddiction MedicineYes

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: 3/30/2025

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