Potomac Radiation Oncology Center
LBN: Potomac Inova Healthcare Alliance
Potomac Radiation Oncology Center is an health care organization with primary practice located at 2296 Opitz Blvd Suite 140, Woodbridge VA 22191-3300. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, Radiation, which is considered as the primary health care specialty.
Potomac Inova Healthcare Alliance can be contacted via phone (703) 670-3349, or through Mason, Jackie via phone (703) 670-3349.
Contact Information
Primary practice address
2296 Opitz Blvd Suite 140
Woodbridge VA 22191-3300
Phone: (703) 670-3349
Fax: (703) 580-0730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Oncology, Radiation | 261QX0203X |
Profile Details
| NPI number | 1013181791 |
|---|---|
| LBN Legal business name | Potomac Inova Healthcare Alliance |
| DBA Doing business as | Potomac Radiation Oncology Center |
| Authorized official | Mason, Jackie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 15th, 2008 |
| Last updated | Feb 26th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013181791 | NPPES |
| Virginia | Other | 2521782 | AETNA HMO |
| Virginia | MEDICAID | 007603118 | AETNA HMO |
| Virginia | Other | 2108004 | AETNA HMO |
| Virginia | Other | 245110 | AETNA HMO |
| Virginia | Other | 7154230 | AETNA HMO |
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