NPIMap

Organization Active NPI

Reston Hospital Center, LLC

  • Emergency Care Clinic/Center
  • Dulles, VA
National Provider Identifier
1407286289
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
RESTON HOSPITAL CENTER, LLC
Practice address
24570 Gum Spring Rd
Dulles, VA 20166-2246
Phone
(571) 367-4400
NPI assigned
Nov 15, 2013
Organization subpart
Yes
Parent organization
RESTON HOSPITAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Thomas Eisel
Title
Cfo
Phone
(703) 689-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

24570 Gum Spring Rd
Dulles, VA 20166-2246

Mailing address

1850 Town Center Pkwy
Reston, VA 20190-3219
Phone (571) 367-4400

Other names 1

  • StoneSpring Emergency Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reston Hospital Center LLC10 organizations share this tax ID, including this one
Part of
Reston Hospital Center LLC

Other organizations with this tax ID 9

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

Locations

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1407286289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903219",
            "telephone_number": "571-367-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24570 GUM SPRING RD",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662246",
            "telephone_number": "571-367-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTON HOSPITAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTON HOSPITAL CENTER, LLC",
        "enumeration_date": "2013-11-15",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "EISEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "703-689-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneSpring Emergency Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "StoneSpring Emergency Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dulles, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.