| Virginia Health Center | |
|
513 W Broad St Suite 100 Falls Church VA 22046-3248 | |
| (703) 940-0000 | |
| (703) 782-0207 |
| Full Name | Virginia Health Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 513 W Broad St, Falls Church, Virginia |
| Authorized Official Name and Position | Philip Joseph O'donnell (PRESIDENT/OWNER) |
| Authorized Official Contact | 7039400000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Health Center 513 W Broad St Suite 100 Falls Church VA 22046-3248 Ph: (703) 940-0000 | Virginia Health Center 513 W Broad St Suite 100 Falls Church VA 22046-3248 Ph: (703) 940-0000 |
| NPI Number | 1629406517 |
|---|---|
| Provider Enumeration Date | 10/31/2013 |
| Last Update Date | 12/02/2013 |
| Medicare PECOS PAC ID | 9739318502 |
|---|---|
| Medicare Enrollment ID | O20140128001003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629406517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Philip J Odonnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396706206 PECOS PAC ID: 5597720763 Enrollment ID: I20080410000469 |
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