GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC (NPI# 1063748820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063748820 |
| Entity Type | Organization |
| Organization Name | GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC |
| Other Organization Name | GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER |
| Practice Address |
9444 Taney Rd Manassas VA 20110-5933 |
| Mailing Address |
Po Box 6966 Richmond VA 23230-0966 |
| Practice Telephone | 5717224590 |
| Practice Fax Number | 7036807953 |
| Mailing Telephone | 8042377690 |
| Mailing Fax Number | 8042377697 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | FRANK PRINCIPI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7036807950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1063748820 | 05 |
| Other Name | Type Code |
|---|---|
| Greater Prince William Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770914939 | Greater Prince William Area Community Health Center Inc | Clinic/Center | 9705 Liberia Ave, Manassas, VA 20110-1743 | 2013-12-12 |
| 1568838738 | Greater Prince William Area Community Health Center Inc | Clinic/Center | 17739 Main St, 130, Dumfries, VA 22026-3251 | 2015-08-11 |
| 1366591562 | Greater Prince William Area Community Health Center Inc | Clinic/Center | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8322 | 2007-01-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Greater Prince William Area Community Health Center Inc. | 4379 Ridgewood Center Dr, #102, Woodbridge, Virginia 22192 |
| Street Address |
9444 TANEY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487878286 | Dyanne Victoria Liga | Physician Assistant | 9444 Taney Rd, Manassas, VA 20110-5933 | 2007-04-12 |
| 1093096281 | Community Care Pediatrics, LLC | Nurse Practitioner | 9444 Taney Rd, 103, Manassas, VA 20110-5933 | 2011-09-01 |
| 1922282771 | Rebecca Sinclair | Internal Medicine | 9444 Taney Rd, Manassas, VA 20110-5933 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770914939 | Greater Prince William Area Community Health Center Inc | Clinic/Center | 9705 Liberia Ave, Manassas, VA 20110-1743 | 2013-12-12 |
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|---|---|---|---|---|
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| 1093367732 | Peninsula Institute for Community Health Inc | Clinic/Center | 7401 Warwick Blvd, Newport News, VA 23607-1515 | 2019-07-12 |
| 1538725668 | Peninsula Institute for Community Health Inc | Clinic/Center | 9294 Warwick Blvd, Newport News, VA 23607-1535 | 2019-05-14 |
| 1861909731 | The Daily Planet Inc | Clinic/Center | 2864 Hull St, Richmond, VA 23224-3680 | 2018-01-02 |
| 1427560242 | Neighborhood Health | Clinic/Center | 5000 Polk Ave, Alexandria, VA 22304-1908 | 2017-11-02 |
| 1679084297 | Neighborhood Health | Clinic/Center | 8100 Fordson Rd, Alexandria, VA 22306-3128 | 2017-10-23 |
| 1396256087 | Neighborhood Health | Clinic/Center | 1501 Cameron St, Alexandria, VA 22314-2702 | 2017-10-20 |
| 1689122186 | Monroe County Health Center Board of Trustees | Clinic/Center | 25239 Craigs Creek Rd, New Castle, VA 24127-6223 | 2016-09-14 |
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.