| Inova Loudoun Hospital | |
|
224 Cornwall St Nw Leesburg VA 20176-2701 | |
| (703) 858-6000 | |
| (703) 858-2620 |
| Full Name | Inova Loudoun Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 224 Cornwall St Nw, Leesburg, 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 Loudoun Hospital 8095 Innovation Park Dr Fairfax VA 22031-4868 Ph: (540) 272-7378 | Inova Loudoun Hospital 224 Cornwall St Nw Leesburg VA 20176-2701 Ph: (703) 858-6000 |
| NPI Number | 1285786228 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 12/23/2023 |
| Certification Date | 12/23/2023 |
| Medicare PECOS PAC ID | 2466351093 |
|---|---|
| Medicare Enrollment ID | O20200209000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285786228 | NPI | - | NPPES |
| 1376564302 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 19802001 (Virginia) | Primary |
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