Active NPI
Medical Company
- Durable Medical Equipment & Medical Supplies
- Woodbridge, VA
National Provider Identifier
1801950894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0206009192
- Legal business name
- MEDICAL COMPANY
- Doing business as
- Medical Company
- Practice address
- 14555 Potomac Mills Road
Woodbridge, VA 22192-5567 - Phone
- (703) 490-8106
- Fax
- (703) 490-8107
- NPI assigned
- Dec 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annette Fleming McClatchey IX
- Title
- Administrator
- Phone
- (703) 490-8106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0206009192 | VA | Primary |
Addresses
Primary practice location
14555 Potomac Mills Road
Woodbridge, VA 22192-5567
Mailing address
11690 Chanceford Dr
Woodbridge, VA 22192-5567
Phone (703) 490-8106
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206009192 | Other | VA | DURABLE MEDICAL EQUIPMENT |
| 0215000305 | Other | VA | WHOLESALE DISTRIBUTOR |
Other names 1
- MEDICAL COMPANY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801950894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11690 CHANCEFORD DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925567",
"telephone_number": "703-490-8106",
"fax_number": "703-490-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14555 POTOMAC MILLS ROAD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925567",
"telephone_number": "703-490-8106",
"fax_number": "703-490-8107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCCLATCHEY",
"authorized_official_first_name": "ANNETTE",
"authorized_official_middle_name": "FLEMING",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "703-490-8106",
"authorized_official_name_suffix": "IX"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "0206009192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DURABLE MEDICAL EQUIPMENT",
"identifier": "0206009192",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WHOLESALE DISTRIBUTOR",
"identifier": "0215000305",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICAL COMPANY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Woodbridge, VA
Sources for this page
- 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.