Organization
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Active
Parent organization
COUNTY OF FAIRFAX, VIRGINIA
Other names
Early Intervention Services, Fairfax-Falls Church CSB
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF FAIRFAX, VIRGINIA
Authorized official
BRYAN J HILL (COUNTY EXECUTIVE)
(703) 324-2536
Entity
Organization
Contact information
Practice address
3750 BLENHEIM BLVD, FAIRFAX, VA 22030-1806
(703) 246-7121
(703) 653-1385
Mailing address
12000 GOVERNMENT CENTER PKWY, SUITE 552, FAIRFAX, VA 22035-0001
(703) 324-3360
(703) 324-4573
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
113
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002193312002
UNITED HEALTHCARE
VA
05
—
004979737
—
VA
01
—
113512
KAISER PERMANENTE
VA
01
—
191539
ANTHEM
VA
01
—
191540
ANTHEM
VA
01
—
191541
ANTHEM
VA
01
—
293450
AMERIGROUP
VA
Enumeration date
07/08/2006
Last updated
10/30/2023
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