Provider Demographics
NPI:1609955905
Name:UMC HOLDINGS, INC
Entity Type:Organization
Organization Name:UMC HOLDINGS, INC
Other - Org Name:INOVA URGENT CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, OCC HEALTH & URGENT CC
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-279-4335
Mailing Address - Street 1:2990 TELESTAR CT
Mailing Address - Street 2:STE. 3UC
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1207
Mailing Address - Country:US
Mailing Address - Phone:571-423-5711
Mailing Address - Fax:571-423-5701
Practice Address - Street 1:100 MAPLE AVE E
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-5723
Practice Address - Country:US
Practice Address - Phone:703-938-5300
Practice Address - Fax:703-242-0726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG00111Medicare ID - Type UnspecifiedMEDICARE GROUP PROVIDER #