PREMISE HEALTH OF VIRGINIA MEDICAL P.C NPI 1881021731

NPI Information

NPI: 1881021731
Provider Name: PREMISE HEALTH OF VIRGINIA MEDICAL, P.C

Doing Business As: NAVY FEDERAL WELLNESS CENTER VIENNA

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
820 FOLLIN LN SE
VIENNA, VA
ZIP 22180
Phone: (877) 222-8808
Get Directions

PREMISE HEALTH OF VIRGINIA MEDICAL, P.C is a health service clinic center in Vienna, VA. PREMISE HEALTH OF VIRGINIA MEDICAL, P.C NPI is 1881021731. The provider is registered as an organization entity type.
The provider Is Doing Business As Navy Federal Wellness Center Vienna.

The provider's business location address is:

820 FOLLIN LN SE
VIENNA, VA
ZIP 22180-907
Phone: (877) 222-8808
Fax: (703) 206-1371

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 10/8/2013 and was last updated on 8/15/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			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

NPI Synchronization or Removal

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