Organization · Type 2 NPI
Premise Health of Virginia Medical PC
Multi-Specialty Clinic/Center · Manassas, VA
NPI number
1629743968
Active
Practice location
10432 Balls Ford Rd Ste 224
Manassas, VA 20109-2516
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Other multi-specialty clinic/center providers in Manassas
About NPI 1629743968
Premise Health of Virginia Medical PC's National Provider Identifier is 1629743968, issued on Aug 10, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Manassas, VA. The record was last updated on Feb 13, 2026.