Organization · Type 2 NPI
Potomac Hospital Corporation of Prince William
Clinic/Center · Lake Ridge, VA
NPI number
1366718215
Active
Practice location
12825 Minnieville Road
Lake Ridge, VA 22192-9998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4 other providers at this address
- Greater Metropolitan Orthopaedic InstituteOrthopaedic Surgery Physician Woodbridge, VA NPI 1194039511
- Lake Ridge Ambulatory Surgery Center, LLCAmbulatory Surgical Clinic/Center Woodbridge, VA NPI 1972850808
- Lake Ridge Anesthesia LLCAnesthesiology Physician Woodbridge, VA NPI 1558619254
- Elethia V. WamplerPhysical Therapist Woodbridge, VA NPI 1992724413
About NPI 1366718215
Potomac Hospital Corporation of Prince William's National Provider Identifier is 1366718215, issued on Mar 26, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lake Ridge, VA. The record was last updated on Mar 26, 2012.