# SQUADRON HEALTH ENTERPRISES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720617525
- **Authorized official:** SARAH J DONOVAN (CEO)
- **Authorized official phone:** (202) 746-6136

## Contact information

- **Practice address:** 10602 ALLENWOOD LN, GREAT FALLS, VA 22066-3229
- **Practice address phone:** (202) 262-0748
- **Mailing address:** 11110 SUNSET HILLS RD UNIT 8124, RESTON, VA 20195-8091
- **Mailing address phone:** (202) 746-6136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2020
- **Last updated:** 04/03/2020