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GREATER PRINCE WILLIAM AREA COMMUNITY HEATLH CENTER NPI 1942527874


NPI Information

NPI: 1942527874
Provider Name: GREATER PRINCE WILLIAM AREA COMMUNITY HEATLH CENTER

Doing Business As: GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER DENTAL CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 49D1069901

Address:
4379 RIDGEWOOD CENTER DR
SUITE 102
WOODBRIDGE, VA
ZIP 22192
Phone: (703) 680-7950
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GREATER PRINCE WILLIAM AREA COMMUNITY HEATLH CENTER is a federally qualified health center (fqhc) clinic center in Woodbridge, VA. GREATER PRINCE WILLIAM AREA COMMUNITY HEATLH CENTER NPI is 1942527874. The provider is registered as an organization entity type.
The provider Is Doing Business As Greater Prince William Community Health Center Dental Clinic.

The provider's business location address is:

4379 RIDGEWOOD CENTER DR
SUITE 102
WOODBRIDGE, VA
ZIP 22192-322
Phone: (703) 680-7950
Fax: (703) 680-7953

The provider's authorized official is Frank Principi .
The authorized official title is Executive Director and has the following contact phone number (703) 680-7950.

The CLIA number assigned to this NPI record is 49D1069901 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2010 and was last updated on 7/22/2010.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 5/5/2024

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