Greater Prince William Area Community Health Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC

Doing business as

Greater Prince William Community Health Center

Practice address

9444 Taney Rd
Manassas, VA 20110-5933

Phone

(571) 722-4590

Fax

(703) 680-7953

NPI assigned

Oct 28, 2009

Last updated

Jul 22, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frank Principi

Title

Executive Director

Phone

(703) 680-7950

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greater Prince William Community Health Center Doing business as

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBDDAA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Ogur Sinclair, M.D.

  • Internal Medicine Physician
  • Woodbridge, VA
  • NPI 1922282771
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1063748820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6966",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232300966",
            "telephone_number": "804-237-7690",
            "fax_number": "804-237-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9444 TANEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105933",
            "telephone_number": "571-722-4590",
            "fax_number": "703-680-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "PRINCIPI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-680-7950"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063748820",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Prince William Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerome Granato, DDS
• Elaina Grant, RDH
• Ilona Nora Gravers, PSYD
• Sandra-Joy Gray, LPC, LMFT, PH.D
• Greater Manassas Vol Rescue Squad
• Greater Prince William Area Community Health Center Inc (Lunera Pharmacy Manassas)
• Greater Prince William Area Community Health Center Inc (Greater Prince William Community Health Center)
• Greater Prince William Area Community Health Center Inc (Evergreen Terrace Building)
• Kondeh Augusta Greaves, MD DOCTOR OF MEDICIN
• Douglas Green, MA, LPC

• Federally Qualified Health Center (FQHC) in Manassas, VA
• Providers in Manassas, VA by specialty
• Federally Qualified Health Center (FQHC) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.