Professional Healthcare Group
LBN: Professional Healthcare Group
Professional Healthcare Group is an health care organization with primary practice located at 5504 Staples Mill Plz , Woodbridge VA 22193-3247. The organization recently has 2 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Professional Healthcare Group can be contacted via phone (703) 580-7192, or through Mcclatchey, Annette Fleming via phone (703) 580-7192.
Contact Information
Primary practice address
5504 Staples Mill Plz
Woodbridge VA 22193-3247
Phone: (703) 580-7192
Fax: (703) 580-7183
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Laboratories / Clinical Medical Laboratory | 291U00000X | 49D1010340 | Virginia |
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0206009192 | Virginia |
Profile Details
NPI number | 1689629255 |
---|---|
LBN Legal business name | Professional Healthcare Group |
DBA Doing business as | |
Authorized official | Mcclatchey, Annette Fleming |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Oct 3rd, 2008 - about 16 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 | 1689629255 | NPPES |
Virginia | MEDICAID | 010280907 | |
Virginia | MEDICAID | 010303524 |
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