North County Health Center

LBN: North County Health Center
North County Health Center is an health care organization with primary practice located at 11484 Washington Plz W Suite #300, Reston VA 20190-4344. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. North County Health Center can be contacted via phone (703) 787-3217, or through Jeiran, Koorosh via phone (703) 459-7394.

Contact Information

Primary practice address
11484 Washington Plz W Suite #300 Reston VA 20190-4344
Fax: (703) 481-3853
Website:
Authorized official contact:
Name: Jeiran, Koorosh

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201004060 Virginia

Profile Details

NPI number 1508143959
LBN Legal business name North County Health Center
DBA Doing business as North County Health Center
Authorized official Jeiran, Koorosh
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2011
Last updated Nov 14th, 2011 - about 13 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 1508143959 NPPES
Other 4843466 NCPDP PROVIDER IDENTIFICATION NUMBER

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