Organization
INOVA HEALTH CARE SERVICES
Active
Other names
Inova Fairfax Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MAGENHEIMER (CHIEF FINANCIAL OFFICER)
(703) 289-2048
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
2990 TELESTAR CT, FALLS CHURCH, VA 22042-1207
(703) 321-2999
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004900634
—
VA
Enumeration date
03/09/2007
Last updated
12/29/2009
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