# INOVA FAIRFAX HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356501753
- **Authorized official:** DR. NATALIE REBECCA SHILO MD (RESIDENT)
- **Authorized official phone:** (917) 575-4718

## Contact information

- **Practice address:** 3300 GALLOWS RD, DEPARTMENT OF PEDIATRICS, FALLS CHURCH, VA 22042-3307
- **Practice address phone:** (703) 776-7834
- **Mailing address:** 1504 LINCOLN WAY, UNIT 118, MC LEAN, VA 22102-5851
- **Mailing address phone:** (917) 575-4718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 0116018750 | VA | — |
| 282NC0060X | Critical Access Hospital | 0116018750 | VA | — |
| 282NC2000X | Children's Hospital | 0116018750 | VA | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008