Boden Fitness System Llc

LBN: Boden Fitness System Llc
Boden Fitness System Llc is an health care organization with primary practice located at 125 Prosperity Dr Suite 500B, Winchester VA 22602-5385. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Boden Fitness System Llc can be contacted via phone (540) 508-0779, or through Tran, Jordan Le via phone (540) 508-0779.

Contact Information

Primary practice address
125 Prosperity Dr Suite 500B Winchester VA 22602-5385
Phone: (540) 508-0779
Fax: (540) 508-0841
Website:
Map and Directions
Authorized official contact:
Name: Tran, Jordan Le Doctor of Medicine (MD)
Phone: (540) 508-0779

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 0101256096 Virginia

Profile Details

NPI number 1083157499
LBN Legal business name Boden Fitness System Llc
DBA Doing business as
Authorized official Tran, Jordan Le Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2016
Last updated Dec 2nd, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083157499 NPPES
Virginia Other VV748A MEDICARE PTAN

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