| Chesapeake Center Inc | |
|
6506 Loisdale Rd Ste 300 Springfield VA 22150-1824 | |
| (703) 924-4100 | |
| (703) 922-0638 |
| Full Name | Chesapeake Center Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6506 Loisdale Rd, Springfield, Virginia |
| Authorized Official Name and Position | Patricia A Rogers (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 7039244148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Center Inc 6506 Loisdale Rd Ste 300 Springfield VA 22150-1824 Ph: (703) 924-4100 | Chesapeake Center Inc 6506 Loisdale Rd Ste 300 Springfield VA 22150-1824 Ph: (703) 924-4100 |
| NPI Number | 1700858040 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700858040 | NPI | - | NPPES |
| 291751 | Other | AMERICGRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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