Organization
INOVA HEALTH CARE SERVICES
Active
Other names
Inova Fairfax Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO TALENTO (CORPORATE CHIEF FINANCIAL OFFICER)
(571) 472-8717
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
8095 INNOVATION PARK DR, FAIRFAX, VA 22031-4868
(540) 272-7378
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004900634
—
VA
Enumeration date
03/09/2007
Last updated
07/08/2025
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