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FAIRFAX COUNTY VIRGINIA NPI 1174558266


NPI Information

NPI: 1174558266
Provider Name: FAIRFAX COUNTY, VIRGINIA

Doing Business As: FAIRFAX FALLS CHURCH COMMUNITY SERVICES BOARD - DD SERVICES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
12011 GOVERNMENT CENTER PKWY
SUITE 836
FAIRFAX, VA
ZIP 22035
Phone: (703) 324-7000
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FAIRFAX COUNTY, VIRGINIA is a multi-specialty clinic center in Fairfax, VA. FAIRFAX COUNTY, VIRGINIA NPI is 1174558266. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairfax Falls Church Community Services Board - Dd Services.

The provider's business location address is:

12011 GOVERNMENT CENTER PKWY
SUITE 836
FAIRFAX, VA
ZIP 22035-100
Phone: (703) 324-7000
Fax: (703) 324-7092

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 4/1/2021.


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
1261QM1300XClinic/CenterMulti-Specialty113VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004945620MEDICAIDVIRGINIA

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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