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:
Map and Directions
Authorized official contact:
Name: Mcclatchey, Annette Fleming
Phone: (703) 580-7192

Health care specialties

SpecialtyCodeLicense #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 17 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 1689629255 NPPES
Virginia MEDICAID 010280907
Virginia MEDICAID 010303524

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