LORTON URGENT CARE, PLC


Address: 7740 Gunston Plaza, Lorton, VA 22079
Phone: 7033395858

LORTON URGENT CARE, PLC (NPI# 1306038989) 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) 1306038989
Entity Type Organization
Organization Name LORTON URGENT CARE, PLC
Practice Address 7740 Gunston Plaza
Lorton
VA 22079
Practice Telephone 7033395858
Practice Fax Number 7033395860
Mailing Telephone 7037288283
Enumeration Date 2007-08-16
Last Update Date 2012-05-18
Authorized Official Name MAKONNEN ZELLEKE (DIRECTOR)
Authorized Official Telephone 7033395858
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Office Location

Street Address 7740 GUNSTON PLAZA
City LORTON
State VA
Zip Code 22079

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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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Competitor

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City LORTON
Zip Code 22079

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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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