Provider Demographics
NPI:1184178550
Name:INOVA HEALTH SYSTEM SERVICES
Entity Type:Organization
Organization Name:INOVA HEALTH SYSTEM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR, PHYSICIAN OUTPATIENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:APPLING
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:571-581-3322
Mailing Address - Street 1:21785 FILIGREE CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-6213
Mailing Address - Country:US
Mailing Address - Phone:703-554-1111
Mailing Address - Fax:703-554-1101
Practice Address - Street 1:21785 FILIGREE CT
Practice Address - Street 2:SUITE 100
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6213
Practice Address - Country:US
Practice Address - Phone:703-554-1111
Practice Address - Fax:703-554-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173760261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care