| Greater Prince William Community Health Center | |
|
9444 Taney Rd Manassas VA 20110-5933 | |
| (571) 722-4590 | |
| (703) 680-7953 |
| Full Name | Greater Prince William Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9444 Taney Rd, Manassas, Virginia |
| Authorized Official Name and Position | Frank Principi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7036807950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Prince William Community Health Center Po Box 6966 Richmond VA 23230-0966 Ph: (804) 237-7690 | Greater Prince William Community Health Center 9444 Taney Rd Manassas VA 20110-5933 Ph: (571) 722-4590 |
| NPI Number | 1063748820 |
|---|---|
| Provider Enumeration Date | 10/28/2009 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063748820 | NPI | - | NPPES |
| 1063748820 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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