NPIMap

Organization Active NPI

Greater Prince William Area Community Heatlh Center

  • Federally Qualified Health Center (FQHC)
  • Woodbridge, VA
National Provider Identifier
1942527874
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREATER PRINCE WILLIAM AREA COMMUNITY HEATLH CENTER
Practice address
4379 Ridgewood Center Dr
Suite 102
Woodbridge, VA 22192-8322
Phone
(703) 680-7950
Fax
(703) 680-7953
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Frank Principi
Title
Executive Director
Phone
(703) 680-7950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

4379 Ridgewood Center Dr
Suite 102
Woodbridge, VA 22192-8322

Mailing address

PO Box 6966
Richmond, VA 23230-0966
Phone (804) 237-7690

Other names 1

  • Greater Prince William Community Health Center Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greater Prince William Area5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4379 Ridgewood Center Dr
Ste 102
Woodbridge, VA 22192
Phone (703) 680-7950

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1942527874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6966",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232300966",
            "telephone_number": "804-237-7690",
            "fax_number": "804-237-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 RIDGEWOOD CENTER DR",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928322",
            "telephone_number": "703-680-7950",
            "fax_number": "703-680-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER PRINCE WILLIAM AREA COMMUNITY HEATLH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "PRINCIPI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-680-7950"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Prince William Community Health Center Dental Clinic",
            "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 Jul 22, 2010; 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.