|
| |
|
5000 Polk Ave Alexandria VA 22304-1908 | |
| (703) 565-5568 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5000 Polk Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Remonica Rainey (ACCOUNTING MANAGER) |
| Authorized Official Contact | 7035355536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 4320 Glen Allen VA 23058-4320 Ph: (703) 535-5568 | 5000 Polk Ave Alexandria VA 22304-1908 Ph: (703) 565-5568 |
| NPI Number | 1427560242 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427560242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Franconia Internists, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5115 Franconia Rd, Alexandria, VA 22310 Phone: 703-660-0026 Fax: 703-922-4253 | |
Bradlee Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3541 W Braddock Rd, 101, Alexandria, VA 22302 Phone: 703-379-6020 Fax: 703-820-8799 | |
Rediclinic Of Va, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 Silver Lake Blvd, Alexandria, VA 22315 Phone: 713-335-1731 Fax: 713-358-4881 | |
Avicenna Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5100 Leesburg Pike Ste 101, Alexandria, VA 22302 Phone: 703-705-9500 Fax: 703-417-9051 | |