MARYMOUNT UNIVERSITY NPI 1215522297

NPI Information

  • NPI: 1215522297
  • Provider Name: MARYMOUNT UNIVERSITY
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Other Name: MARYMOUNT UNIVERSITY STUDENT HEALTH SERVICES
  • Address: 2807 N GLEBE RD
    BERG HALL 1014
    ARLINGTON, VA
    ZIP 22207
  • Phone: (703) 284-1610

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NPI Details

MARYMOUNT UNIVERSITY is an adult medicine family medicine in Arlington, VA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. MARYMOUNT UNIVERSITY NPI is 1215522297. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Marymount University Student Health Services.

The provider's business location address is:

2807 N GLEBE RD
BERG HALL 1014
ARLINGTON, VA
ZIP 22207-299
Phone: (703) 284-1610
Fax: (703) 284-3816

The provider's authorized official is Jennifer Claire Gagnon .
The authorized official title is Director and has the following contact phone number (703) 284-1610.

The enumeration date for this NPI number is 3/2/2021 and was last updated on 3/20/2023.

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
1207QA0505XFamily MedicineAdult 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: 11/21/2025

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