| Neighborhood Health | |
|
1225 Martha Custis Dr Alexandria VA 22302-2000 | |
| (757) 913-7542 | |
| Not Available |
| Full Name | Neighborhood Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1225 Martha Custis Dr, Alexandria, Virginia |
| Authorized Official Name and Position | Remonica Rainey (CONTROLLER) |
| Authorized Official Contact | 7035355536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Health 6677 Richmond Hwy Alexandria VA 22306-6647 Ph: (757) 913-7542 | Neighborhood Health 1225 Martha Custis Dr Alexandria VA 22302-2000 Ph: (757) 913-7542 |
| NPI Number | 1588311492 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/10/2022 |
| Medicare PECOS PAC ID | 7517853419 |
|---|---|
| Medicare Enrollment ID | O20220921003857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588311492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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