Mount Vernon Internal Medicine
LBN: Privia Medical Group, Llc
Mount Vernon Internal Medicine is an health care organization with primary practice located at 8109 Hinson Farm Rd Ste 504 , Alexandria VA 22306-3411. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Privia Medical Group, Llc can be contacted via phone (571) 366-8850, or through Ivess, Courtney Ainsworth via phone (571) 366-8831.
Contact Information
Primary practice address
8109 Hinson Farm Rd Ste 504
Alexandria VA 22306-3411
Phone: (571) 366-8850
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X |
Profile Details
NPI number | 1316598758 |
---|---|
LBN Legal business name | Privia Medical Group, Llc |
DBA Doing business as | Mount Vernon Internal Medicine |
Authorized official | Ivess, Courtney Ainsworth |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 26th, 2019 |
Last updated | Mar 5th, 2020 - about 5 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 | 1316598758 | NPPES |
Other | 7442750008 | MEDICARE NSC |
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