Kent Village Medical Center, Llc

LBN: Kent Village Medical Center, Llc
Kent Village Medical Center, Llc is an health care organization with primary practice located at 112 Kent Village Sq , Manassas Park VA 20111-4155. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Kent Village Medical Center, Llc can be contacted via phone (703) 715-9700, or through Gonzales, Federico Carlos via phone (703) 715-9700.

Contact Information

Primary practice address
112 Kent Village Sq Manassas Park VA 20111-4155
Phone: (703) 715-9700
Fax: (703) 715-0202
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, Federico Carlos Doctor of Medicine (MD)
Phone: (703) 715-9700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 0101028651 Virginia

Profile Details

NPI number 1578979886
LBN Legal business name Kent Village Medical Center, Llc
DBA Doing business as
Authorized official Gonzales, Federico Carlos Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2014
Last updated Jul 8th, 2014 - about 11 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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