Organization Active NPI

Servicesource,Inc.

  • Voluntary or Charitable Agency
  • Alexandria, VA
National Provider Identifier
1447419742
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
SERVICESOURCE,INC.
Practice address
6295 Edsall Rd
Suite 175
Alexandria, VA 22312-2670
Phone
(703) 461-6000
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Mr. Thomas S Chang
Title
Vice President Finance
Phone
(703) 461-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X VA Primary

Addresses

Primary practice location

6295 Edsall Rd
Suite 175
Alexandria, VA 22312-2670

Mailing address

6295 Edsall Rd
Suite 175
Alexandria, VA 22312-2670
Phone (703) 461-6000

National Provider Directory

National Provider Directory
Tax ID family
Servicesource Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1447419742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6295 EDSALL RD",
            "address_2": "SUITE 175",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122670",
            "telephone_number": "703-461-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6295 EDSALL RD",
            "address_2": "SUITE 175",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122670",
            "telephone_number": "703-461-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICESOURCE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "703-461-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.