POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM


Address: 2300 Opitz Blvd, Patient Financial Services, Woodbridge, VA 22191-3311
Phone: 7036701595

POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM (NPI# 1548366404) 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) 1548366404
Entity Type Organization
Organization Name POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM
Other Organization Name SENTARA NORTHERN VIRGINIA MEDICAL CENTER
Practice Address 2300 Opitz Blvd
Patient Financial Services
Woodbridge
VA 22191-3311
Practice Telephone 7036701595
Practice Fax Number 7036703267
Mailing Telephone 7036701595
Mailing Fax Number 7036703267
Enumeration Date 2006-09-16
Last Update Date 2020-01-03
Authorized Official Name MR. ROBERT A BROERMANN (SVP/CFO)
Authorized Official Telephone 7574557020
Is Organization Subpart Y
Parent Organization Name SENTARA HEALTHCARE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital H1771 VA Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM BCBS 000028 01
VA 4901134 05
VA ANTHEM HCFA 293165 01

Other Provider/Organization Names

Other Name Type Code
Sentara Northern Virginia Medical Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366718215 Potomac Hospital Corporation of Prince William Clinic/Center 12825 Minnieville Road, Lake Ridge, VA 22192-9998 2012-03-26

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM 2300 Opitz Blvd, Woodbridge, Virginia 22191-3311

Office Location

Street Address 2300 OPITZ BLVD
PATIENT FINANCIAL SERVICES
City WOODBRIDGE
State VA
Zip Code 22191-3311

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730180944 Bestpractices, Inc. Emergency Medicine 2300 Opitz Blvd, Woodbridge, VA 22191-3311 2005-08-10
1457967580 Rodaba Ahmadi Meherzad Specialist/Technologist, Other 2300 Opitz Blvd, Woodbridge, VA 22191-3311 2020-09-23
1548800659 Apsara Aryal Nurse Practitioner 2300 Opitz Blvd, Woodbridge, VA 22191-3311 2020-01-07
1255986147 Premier Anesthesia of Virginia LLC Nurse Anesthetist, Certified Registered 2300 Opitz Blvd, Woodbridge, VA 22191-3311 2019-08-07
1457816522 Imrad of Virginia Pllc Radiology 2300 Opitz Blvd, Woodbridge, VA 22191-3311 2019-02-04
1245704022 Claire Caine Nurse Anesthetist, Certified Registered 2300 Opitz Blvd, Woodbridge, VA 22191-3311 2019-01-15
1912479692 Mohammad Omar Malikasghar Surgery 2300 Opitz Blvd, Woodbridge, VA 22191-3311 2018-12-19
1811463086 New Life Medical LLC Internal Medicine 2300 Opitz Blvd, Woodbridge, VA 22191-3311 2018-10-16
1396246732 Chayamorn Leeraksakiat Nurse Anesthetist, Certified Registered 2300 Opitz Blvd, Woodbridge, VA 22191 2018-02-21
1386151587 Libby Oldenburg Nurse Anesthetist, Certified Registered 2300 Opitz Blvd, Woodbridge, VA 22191-3311 2018-01-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861021131 Bailey Orthodontics Pllc Dentist 16446 Navigation Drive, Woodbridge, VA 22191 2020-04-07
1417589326 Meseret Abate Registered Nurse 15608 William Bayliss Ct, Woodbridge, VA 22191 2020-02-08
1992279327 Velocity Urgent Care, LLC Clinic/Center 16422 Navigation Dr, Woodbridge, VA 22191 2019-01-18
1821577263 Maame Gyasiwah Banahene Registered Nurse 1812 Featherstone Rd, Woodbridge, VA 22191 2018-08-07
1235617507 Yaw P. Baidoo Nutritionist 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 2018-07-30
1477048452 Anahita Abazari Optometrist 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 2018-06-22
1619490661 Misti S Gray Nurse Practitioner 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 2017-07-21
1568991974 Patrice Whilby Behavior Technician 2264 York Drive Apt 302, Woodbridge, VA 22191 2017-06-08
1508395245 Maria Theresa Lee Registered Nurse 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 2017-06-07
1861943763 A1 Home Care, LLC Home Health 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 2016-10-17
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538669445 Virginia Hospital Center Arlington Health System General Acute Care Hospital 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 2018-02-16
1871020651 Virginia Internal Medicine Specialists LLC General Acute Care Hospital 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 2017-05-11
1730615816 Sentara Healthcare General Acute Care Hospital 100 Ireland St, Hampton, VA 23663-2150 2017-05-10
1528592573 New York Presbyterian Hospital-weill Cornell General Acute Care Hospital 9644 Sutton Green Ct, Vienna, VA 22181-6105 2017-04-17
1386181733 Lyle Purnell General Acute Care Hospital 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 2017-01-24
1700233855 Debra Hafer General Acute Care Hospital 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 2016-05-18
1093161374 Mawussi Komi General Acute Care Hospital 6271 Drew Dr, Va Beach, VA 23464 2016-05-05
1700248796 Hq Surgical General Acute Care Hospital 905 Hathaway Ct, Chesapeake, VA 23322-7622 2016-03-28
1710355649 Johnston Memorial Hospital, Inc General Acute Care Hospital 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 2015-09-09
1184092298 Anita Sites General Acute Care Hospital Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 2015-09-04
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Competitor

Search similar providers

City WOODBRIDGE
Zip Code 22191

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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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