Nova Addiction Center

LBN: Nova Addiction Center
Nova Addiction Center is an health care organization with primary practice located at 21135 Whitfield Pl Ste 101 , Sterling VA 20165-7279. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Nova Addiction Center can be contacted via phone (703) 568-8906, or through Mason, Kerry via phone (540) 335-8435.

Contact Information

Primary practice address
21135 Whitfield Pl Ste 101 Sterling VA 20165-7279
Phone: (703) 568-8906
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mason, Kerry
Phone: (540) 335-8435

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1104380468
LBN Legal business name Nova Addiction Center
DBA Doing business as
Authorized official Mason, Kerry
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2019
Last updated Jan 30th, 2019 - about 6 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 1104380468 NPPES
Virginia MEDICAID 1538129127

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