| Fairfax Falls Church Community Services Board - Dd Services | |
|
12011 Government Center Pkwy Suite 836 Fairfax VA 22035-1100 | |
| (703) 324-7000 | |
| (703) 324-7092 |
| Full Name | Fairfax Falls Church Community Services Board - Dd Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 12011 Government Center Pkwy, Fairfax, Virginia |
| Authorized Official Name and Position | Daryl Washington (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7033247000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfax Falls Church Community Services Board - Dd Services 12000 Government Center Pkwy Suite 552 Fairfax VA 22035-0001 Ph: (703) 324-3360 | Fairfax Falls Church Community Services Board - Dd Services 12011 Government Center Pkwy Suite 836 Fairfax VA 22035-1100 Ph: (703) 324-7000 |
| NPI Number | 1174558266 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174558266 | NPI | - | NPPES |
| 004945620 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 113 (Virginia) | Primary |
Neighborhood Health At Merrifield Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-535-5568 Fax: 703-299-1794 | |
Fair Oaks Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10721 Main St, #1500, Fairfax, VA 22030 Phone: 703-218-2970 Fax: 703-218-2965 | |
Health Connect Aco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12011 Lee Jackson Hwy, Suite 504, Fairfax, VA 22033 Phone: 703-391-2042 | |
Revive Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3998 Fair Ridge Dr Ste 270, Fairfax, VA 22033 Phone: 571-544-8110 | |
Paramount Care Physicians Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12011 Lee Jackson Memorial Hwy, Suite 230, Fairfax, VA 22033 Phone: 703-222-0002 Fax: 703-449-9890 | |
Boundless Nutrition Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13112 Moss Ranch Ln, Fairfax, VA 22033 Phone: 703-705-2720 | |
Shanmugam Mukundan, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3930 Walnut St, Suite 101, Fairfax, VA 22030 Phone: 703-349-1191 |