NOVA DIALYSIS WOODBINE NPI 1316789027

NPI Information

  • NPI: 1316789027
  • Provider Name: NOVA DIALYSIS WOODBINE
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • CLIA Number: 49D2308257
  • Address: 2729 KING ST
    ALEXANDRIA, VA
    ZIP 22302
  • Phone: (301) 577-1007

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NPI Details

NOVA DIALYSIS WOODBINE is an end-stage renal disease (esrd) treatment clinic center in Alexandria, VA. NOVA DIALYSIS WOODBINE NPI is 1316789027. The provider is registered as an organization entity type.

The provider's business location address is:

2729 KING ST
ALEXANDRIA, VA
ZIP 22302-008
Phone: (301) 577-1007
Fax: (301) 577-1006

The provider's authorized official is Minessia Z Pearson .
The authorized official title is Cfo and has the following contact phone number (301) 577-1007.

The CLIA number assigned to this NPI record is 49D2308257 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2024 and was last updated on 7/8/2024.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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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