| Uva Health Prince William Medical Center | |
|
8680 Hospital Way Manassas VA 20110 | |
| (703) 369-8055 | |
| (703) 369-8565 |
| Full Name | Uva Health Prince William Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 8680 Hospital Way, Manassas, Virginia |
| Authorized Official Name and Position | Charles D Coder (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8048352069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uva Health Prince William Medical Center Po Box 800750 Charlottesville VA 22908-0750 Ph: (434) 924-8344 | Uva Health Prince William Medical Center 8680 Hospital Way Manassas VA 20110 Ph: (703) 369-8055 |
| NPI Number | 1205987898 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 4981515558 |
|---|---|
| Medicare Enrollment ID | O20070518000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205987898 | NPI | - | NPPES |
| 1205987898 | Medicaid | VA | |
| 004900456 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | H1882 (Virginia) | Primary |
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