| Greater Prince William Area Community Health Center Inc | |
|
10056 Dean Dr Manassas VA 20110-4115 | |
| (703) 680-7950 | |
| (703) 680-7953 |
| Full Name | Greater Prince William Area Community Health Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10056 Dean Dr, Manassas, Virginia |
| Authorized Official Name and Position | Brian Otis Harris (CEO) |
| Authorized Official Contact | 7036807950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Prince William Area Community Health Center Inc 3350 Commission Ct Woodbridge VA 22192-1784 Ph: (703) 680-7950 | Greater Prince William Area Community Health Center Inc 10056 Dean Dr Manassas VA 20110-4115 Ph: (703) 680-7950 |
| NPI Number | 1750263422 |
|---|---|
| Provider Enumeration Date | 07/23/2025 |
| Last Update Date | 07/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750263422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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