Organization · Type 2 NPI

Greater Prince William Area Community Health Center Inc

Federally Qualified Health Center (FQHC) · Manassas, VA

NPI number 1770914939 Active

Practice location

9705 Liberia Ave
Manassas, VA 20110-1743

Call (703) 680-7950 Map

Fax (703) 680-7953

Mailing address

3350 Commission Ct
Woodbridge, VA 22192-1784

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

Cynthia Lopez, FNP-BCFamily Nurse Practitioner Manassas, VA NPI 1669848438
Hussien A. Al-Shammaa, M. D., F.A.A.P.Pediatric Adolescent Medicine Physician Manassas, VA NPI 1093765646
Jacqueline Rebeca Rodriguez, PTAPhysical Therapy Assistant Manassas, VA NPI 1700542271
Melat DerejePhysician Assistant Manassas, VA NPI 1376364497
Sushma ShresthaPediatric Nurse Practitioner Manassas, VA NPI 1548975949

Other federally qualified health center (fqhc) providers in Manassas

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NPI record

NPI: 1770914939
Entity type: Organization (Type 2)
Issued: Dec 12, 2013
Last updated: Jan 5, 2026
Status: Active
Subpart: Yes of Greater Prince William Area Community Health Center Inc

Other names

<unavail>
Evergreen Terrace Building · doing business as
Evergreen Terrace Building · doing business as
Lunera Health · doing business as

Authorized official

Melissa Moorer
Director of Revenue Cycle
(540) 295-4014

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770914939

Greater Prince William Area Community Health Center Inc's National Provider Identifier is 1770914939, issued on Dec 12, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Manassas, VA. The record was last updated on Jan 5, 2026.