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46440 Benedict Dr Suite 208 Sterling VA 20164-6602 | |
(571) 434-0022 | |
(571) 434-1881 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 46440 Benedict Dr, Sterling, Virginia |
Authorized Official Name and Position | Debra Dever (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7034432000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 6944 Richmond VA 23230-0944 Ph: (804) 237-7690 | 46440 Benedict Dr Suite 208 Sterling VA 20164-6602 Ph: (571) 434-0022 |
NPI Number | 1275842387 |
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Provider Enumeration Date | 10/07/2010 |
Last Update Date | 10/04/2011 |
Identifier | Type | State | Issuer |
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1275842387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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