Patient First - Fairfax | |
10100 Fairfax Blvd Fairfax VA 22030-2000 | |
(703) 679-1876 | |
(703) 679-1877 |
Full Name | Patient First - Fairfax |
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Speciality | Clinic/Center |
Location | 10100 Fairfax Blvd, Fairfax, Virginia |
Authorized Official Name and Position | George H. Morison (PRESIDENT) |
Authorized Official Contact | 8049685700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Patient First - Fairfax 5000 Cox Rd Glen Allen VA 23060-9263 Ph: (804) 822-4355 | Patient First - Fairfax 10100 Fairfax Blvd Fairfax VA 22030-2000 Ph: (703) 679-1876 |
NPI Number | 1588018881 |
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Provider Enumeration Date | 04/22/2016 |
Last Update Date | 01/27/2021 |
Medicare PECOS PAC ID | 9931011434 |
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Medicare Enrollment ID | O20160718000127 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588018881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Virginia) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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