MEDGEN URGENT CARE VIRGINIA LLC (NPI# 1033500079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033500079 |
| Entity Type | Organization |
| Organization Name | MEDGEN URGENT CARE VIRGINIA LLC |
| Practice Address |
3117 Duke St Alexandria VA 22314-4518 |
| Mailing Address |
6841 Elm St #916 Mc Lean VA 22101-0916 |
| Practice Telephone | 7037518800 |
| Mailing Telephone | 2022581627 |
| Mailing Fax Number | 8442131098 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | CLELIA WALTERS (PART OWNER) |
| Authorized Official Telephone | 2022581627 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDGEN URGENT CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
3117 DUKE ST |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396080800 | Laura Provenzano | Physician Assistant | 3117 Duke St, Alexandria, VA 22314-4518 | 2012-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in zip 22314 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528485539 | Rapides After Hours Clinic LLC | Clinic/Center | 3800 Jackson Street Ext, Alexandria, LA 71303-3005 | 2014-03-27 |
| 1174803514 | Tidings Out of The East Inc. | Clinic/Center | 5713 Harwich Ct Apt 133, Alexandria, VA 22311-5713 | 2011-08-17 |
| 1013136605 | Ravi K Veluri | Clinic/Center | 4810 Beauregard St Ste 206b, Alexandria, VA 22312-1730 | 2007-04-24 |
| 1912350885 | Inova Physician Partners, Inc. | Clinic/Center | 1225 Martha Custis Dr, Suite C-1, Alexandria, VA 22302-2000 | 2016-07-15 |
| 1659777928 | Medstar Urgent Care, LLC | Clinic/Center | 3610 King St, Suite D, Alexandria, VA 22302-1908 | 2014-11-13 |
| 1477970168 | Rapides Healthcare System, LLC | Clinic/Center | 105 N 3rd St, Alexandria, LA 71301-8582 | 2014-03-20 |
| 1659613537 | Dm Properties of Lafayette, LLC | Clinic/Center | 3601 Jackson Street Ext, Alexandria, LA 71303-3002 | 2013-03-19 |
| 1518261064 | Exclusive Health Services LLC | Clinic/Center | 6020 Richmond Hwy, Suite 101, Alexandria, VA 22303-2157 | 2010-12-27 |
| 1104004092 | Mehboob Ahmed | Clinic/Center | 2500 N Van Dorn St, Ste. 106, Alexandria, VA 22302-1626 | 2008-02-04 |
| 1477736528 | American Current Care, Pa. | Clinic/Center | 5590 General Washington Drive, Alexandria, VA 22312 | 2007-12-12 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
Please comment or provide details below to improve the information on MEDGEN URGENT CARE VIRGINIA LLC.
| 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.