Provider Demographics
NPI:1558835967
Name:WHOLE HEALTH MEDICAL CENTERS
Entity Type:Organization
Organization Name:WHOLE HEALTH MEDICAL CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HONG
Authorized Official - Middle Name:
Authorized Official - Last Name:HITCHINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-901-6588
Mailing Address - Street 1:10329 DEMOCRACY LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2558
Mailing Address - Country:US
Mailing Address - Phone:571-357-2229
Mailing Address - Fax:
Practice Address - Street 1:10329 DEMOCRACY LN
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2558
Practice Address - Country:US
Practice Address - Phone:571-357-2229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty