| Inova Mount Vernon Hospital | |
|
2501 Parkers Ln Alexandria VA 22306-3209 | |
| (703) 664-7000 | |
| Not Available |
| Full Name | Inova Mount Vernon Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2501 Parkers Ln, Alexandria, Virginia |
| Authorized Official Name and Position | Alice Pope (CORPORATE CFO) |
| Authorized Official Contact | 5714728717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inova Mount Vernon Hospital 8095 Innovation Park Dr Fairfax VA 22031-4868 Ph: (540) 272-7378 | Inova Mount Vernon Hospital 2501 Parkers Ln Alexandria VA 22306-3209 Ph: (703) 664-7000 |
| NPI Number | 1104957083 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 2466351093 |
|---|---|
| Medicare Enrollment ID | O20100318000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104957083 | NPI | - | NPPES |
| 004901223 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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