# INOVA FAIRFAX HOSPITAL

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

## Provider details

- **NPI number:** 1750622049
- **Authorized official:** NEHA KASABWALA (CRNA)
- **Authorized official phone:** (540) 520-7565

## Contact information

- **Practice address:** 2150 STONE MILL DR, SALEM, VA 24153-4667
- **Practice address phone:** (540) 520-7565
- **Mailing address:** 2150 STONE MILL DR, SALEM, VA 24153-4667
- **Mailing address phone:** (540) 520-7565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0001215999 | VA | Yes |

## Other

- **Enumeration date:** 03/11/2013
- **Last updated:** 03/11/2013