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INOVA HEALTH CARE SERVICES NPI 1669511051


NPI Information

NPI: 1669511051
Provider Name: INOVA HEALTH CARE SERVICES

Doing Business As: INOVA JUNIPER PROGRAM

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

Specialization: Multi-Specialty

CLIA Number: 49D1046614

Address:
2740 PROSPERITY AVE STE 200
FAIRFAX, VA
ZIP 22031
Phone: (703) 321-2600
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INOVA HEALTH CARE SERVICES is a multi-specialty clinic center in Fairfax, VA. INOVA HEALTH CARE SERVICES NPI is 1669511051. The provider is registered as an organization entity type.
The provider Is Doing Business As Inova Juniper Program.

The provider's business location address is:

2740 PROSPERITY AVE STE 200
FAIRFAX, VA
ZIP 22031-354
Phone: (703) 321-2600
Fax: (703) 321-2603

The provider's authorized official is Alice Pope .
The authorized official title is Chief Financial Officer and has the following contact phone number (703) 289-2048.

The CLIA number assigned to this NPI record is 49D1046614 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 10/31/2022.


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
1261QM0850XClinic/CenterAdult Mental Health0904007138VIRGINIANo
2261QM0850XClinic/CenterAdult Mental Health904003766VIRGINIANo
3261QM0850XClinic/CenterAdult Mental Health904006670VIRGINIANo
4261QM0850XClinic/CenterAdult Mental Health904006648VIRGINIANo
5261QM0850XClinic/CenterAdult Mental Health904005277VIRGINIANo
6261QM0850XClinic/CenterAdult Mental Health904005185VIRGINIANo
7261QM0850XClinic/CenterAdult Mental Health904006926VIRGINIANo
8261QM1300XClinic/CenterMulti-Specialty0110002560VIRGINIANo
9261QM1300XClinic/CenterMulti-Specialty110001575VIRGINIANo
10261QM1300XClinic/CenterMulti-Specialty24165284VIRGINIANo
11261QM1300XClinic/CenterMulti-Specialty24168406VIRGINIANo
12261QM1300XClinic/CenterMulti-SpecialtyH1921VIRGINIAYes

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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