| County Of Loudoun, Virginia | |
|
102 Heritage Way Ne Ste 100 Leesburg VA 20176-4544 | |
| (703) 777-0236 | |
| (703) 771-5393 |
| Full Name | County Of Loudoun, Virginia |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 Heritage Way Ne Ste 100, Leesburg, Virginia |
| Authorized Official Name and Position | Timothy D Hemstreet (COUNTY ADMINISTRATOR) |
| Authorized Official Contact | 7037770200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Loudoun, Virginia Po Box 7000 Msc 68 Leesburg VA 20177-7000 Ph: (703) 771-5355 | County Of Loudoun, Virginia 102 Heritage Way Ne Ste 100 Leesburg VA 20176-4544 Ph: (703) 777-0236 |
| NPI Number | 1588353569 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/04/2023 |
| Medicare PECOS PAC ID | 8426039959 |
|---|---|
| Medicare Enrollment ID | O20240311002852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588353569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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