NPIMap

Organization Active NPI

Fort Belvoir Community Hospital

Doing business as Fairfax Health Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fairfax, VA
National Provider Identifier
1376758193
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
FORT BELVOIR COMMUNITY HOSPITAL
Doing business as
Fairfax Health Center
Practice address
10580 Arrowhead Dr
Fairfax, VA 22030-7301
Phone
(571) 432-2600
NPI assigned
May 14, 2007
Last updated
Dec 20, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
FORT BELVOIR COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Oscar Hartley
Title
Ubo Manager
Phone
(571) 231-2866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X NU Primary

Addresses

Primary practice location

10580 Arrowhead Dr
Fairfax, VA 22030-7301

Mailing address

9300 Dewitt Loop
Attn TPCP
Fort Belvoir, VA 22060-5901
Phone (571) 231-2856

Other identifiers 1

IdentifierTypeStateIssuer
1134294705OtherPARENT FACILITY NPI

Other names 1

  • Fairfax Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Walter Reed National Military Med Center7 organizations share this tax ID, including this one
Part of
Walter Reed National Military Med Center

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1376758193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "address_2": "ATTN TPCP",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605901",
            "telephone_number": "571-231-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 ARROWHEAD DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307301",
            "telephone_number": "571-432-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BELVOIR COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORT BELVOIR COMMUNITY HOSPITAL",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "571-231-2866"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI",
            "identifier": "1134294705",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.