Organization · Type 2 NPI
Chantilly Walk-In Clinic
Clinic/Center · Fairfax, VA
NPI number
1972509735
Active
Practice location
13037 Lee Jackson Hwy, Ste D
Fairfax, VA 22033-2004
Fax (703) 968-4227
Mailing address
PO Box 221226
Chantilly, VA 20153-1226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 0101036326 (VA) |
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).
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About NPI 1972509735
Chantilly Walk-In Clinic's National Provider Identifier is 1972509735, issued on Jun 24, 2005. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fairfax, VA. The record was last updated on Aug 22, 2020.