| Inova Fair Oaks Hospital | |
|
3600 Joseph Siewick Dr Fairfax VA 22033-1709 | |
| (703) 391-3600 | |
| Not Available |
| Full Name | Inova Fair Oaks Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3600 Joseph Siewick Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Richard Magenheimer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7032892048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inova Fair Oaks Hospital 2990 Telestar Ct Falls Church VA 22042-1207 Ph: (703) 321-2999 | Inova Fair Oaks Hospital 3600 Joseph Siewick Dr Fairfax VA 22033-1709 Ph: (703) 391-3600 |
| NPI Number | 1922139807 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 12/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922139807 | NPI | - | NPPES |
| 004901011 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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