INTERNATIONAL MEDICAL CENTER, INC


Address: 5410 Port Royal Rd, Suite 100, Springfield, VA 22151-2314
Phone: 7036421004

INTERNATIONAL MEDICAL CENTER, INC (NPI# 1265685515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265685515
Entity Type Organization
Organization Name INTERNATIONAL MEDICAL CENTER, INC
Practice Address 5410 Port Royal Rd
Suite 100
Springfield
VA 22151-2314
Practice Telephone 7036421004
Practice Fax Number 7036423232
Mailing Telephone 7036421004
Mailing Fax Number 7036423232
Enumeration Date 2008-10-30
Last Update Date 2008-10-30
Authorized Official Name MS. EUN HEE LEE (PRESIDENT)
Authorized Official Telephone 7036421004
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 101052584 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 5410 PORT ROYAL RD
SUITE 100
City SPRINGFIELD
State VA
Zip Code 22151-2314

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1720597834 Katelyn E Prue Behavioral Analyst 5414 Backlick Road, C, Springfield, VA 22151 2017-09-21
1144763806 Marcus Rein Physical Therapist 6805 Industrial Rd, Springfield, VA 22151 2016-11-29
1760843676 Pablo Enrique Moro Counselor 5415-c Backlick Rd, Springfield, VA 22151 2016-03-19
1780938332 Leticia Duah Registered Nurse 8551 Newington Forest Court, Springfield, VA 22151 2012-11-05
1760624613 Georges Traboulsi Dentist 5419 Backlick Rd., C, Springfield, VA 22151 2009-03-24
1952563033 Nhu-anh Nguyen Pharmacist 5424 Backlick Road, Springfield, VA 22151 2008-06-30
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1861742223 Victoria J. Dow General Practice 948 Clocktower Drive, Springfield, IL 62704 2012-09-13
1386963429 Care Station Medical Group, Pa General Practice 90 Us Highway 22, Springfield, NJ 07081-3110 2010-05-28
1164758892 John Thomas Kelly General Practice 2105 Interlacken Dr, Springfield, IL 62704 2009-10-31
1972747574 Bradley Bradshaw General Practice 1904 S Shady Hill Ln, Springfield, MO 65809-2601 2009-04-27
1518121565 Robert Charles Woods General Practice 1522 S Cedar Ridge St, Springfield, MO 65809-2356 2008-07-17
1083817639 Saul Wider General Practice 359 Spring Valley Rd, Springfield, PA 19064 2007-06-08
1669681938 Shwee-tian Chou General Practice 517 Boston Rd, Springfield, MA 01109-1230 2007-05-22
1326116229 Abdulkareem I Kraidy General Practice 6801 Backlick Rd, Springfield, VA 22150-3071 2006-12-01
1821168683 Doctors Hearing Center Pllc Xiig General Practice 1306 E Sunshine St, Springfield, MO 65804 2006-11-09
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Competitor

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City SPRINGFIELD
Zip Code 22151

Improve Information

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Dataset Information

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.

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