Dewitt Army Community Hospital

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0001139923 Issued in VA

Legal business name

DEWITT ARMY COMMUNITY HOSPITAL

Practice address

13605 Bottner CT
Woodbridge, VA 22191-1900

Phone

(703) 805-0606

NPI assigned

Jan 4, 2007

Last updated

Aug 22, 2020By 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

Mrs. Jessica Vidal

Title

Registered Nurse

Phone

(703) 805-0606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588711626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13605 BOTTNER CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911900",
            "telephone_number": "703-805-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 BOTTNER CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911900",
            "telephone_number": "703-805-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "703-805-0606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "0001139923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Connection LLC
• Destiny Place LLC
• Dionne Detouche
• Maeve Patricia Devlin, M.S., CCC-SLP
• Dewitt Army Community Hospital
• DHMR Clinics, Inc
• DHMR Endosurgery Inc
• DHP of Potomac PC
• Isabelle Diatta
• Ingrid Diaz

• Nursing Facility/Intermediate Care Facility in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Nursing Facility/Intermediate Care Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.