DOMINION FAMILY HEALTH PLC NPI 1952463606

NPI Information

NPI: 1952463606
Provider Name: DOMINION FAMILY HEALTH, PLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5800 MAPLEDALE PLZ
DALE CITY, VA
ZIP 22193
Phone: (703) 670-0067
Get Directions

DOMINION FAMILY HEALTH, PLC is a family medicine in Dale City, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DOMINION FAMILY HEALTH, PLC NPI is 1952463606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5800 MAPLEDALE PLZ
DALE CITY, VA
ZIP 22193-535
Phone: (703) 670-0067
Fax: (703) 670-0301

The provider's authorized official is Lisa Kimberly Malloy .
The authorized official title is Owner and has the following contact phone number (703) 670-0067.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 3/3/2010.

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
1	207Q00000X	Family Medicine		0101226862	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00V907D01	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	INDIVIDUAL NUMBER
2	H34037	MEDICARE UPIN	VIRGINIA
3	1295729341	OTHER	VIRGINIA	NPI
4	C09040	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	GROUP NUMBER
5	010031605	MEDICAID	VIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »