| Inova Fairfax Hospital | |
|
3300 Gallows Rd Falls Church VA 22042-3307 | |
| (703) 776-4001 | |
| Not Available |
| Full Name | Inova Fairfax Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3300 Gallows Rd, Falls Church, Virginia |
| Authorized Official Name and Position | Alice Pope (CORPORATE CFO) |
| Authorized Official Contact | 5714728717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inova Fairfax Hospital 8095 Innovation Park Dr Fairfax VA 22031-4868 Ph: (540) 272-7378 | Inova Fairfax Hospital 3300 Gallows Rd Falls Church VA 22042-3307 Ph: (703) 776-4001 |
| NPI Number | 1972634848 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 12/23/2023 |
| Certification Date | 12/23/2023 |
| Medicare PECOS PAC ID | 2466351093 |
|---|---|
| Medicare Enrollment ID | O20081111000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972634848 | NPI | - | NPPES |
| 004900634 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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