Organization
GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC
Active
Other names
Greater Prince William Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK PRINCIPI (EXECUTIVE DIRECTOR)
(703) 680-7950
Entity
Organization
Contact information
Practice address
9444 TANEY RD, MANASSAS, VA 20110-5933
(571) 722-4590
(703) 680-7953
Mailing address
PO BOX 6966, RICHMOND, VA 23230-0966
(804) 237-7690
(804) 237-7697
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063748820
—
VA
Enumeration date
10/28/2009
Last updated
07/22/2010
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