Provider Demographics
NPI:1669923967
Name:NORTHERN VIRGINIA COMMUNITY HOSPITAL LLC
Entity type:Organization
Organization Name:NORTHERN VIRGINIA COMMUNITY HOSPITAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-289-4587
Mailing Address - Street 1:7300 BEAUFONT SPRINGS DR
Mailing Address - Street 2:BUILDING VIII, SUITE 101
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5551
Mailing Address - Country:US
Mailing Address - Phone:804-228-4901
Mailing Address - Fax:804-477-1146
Practice Address - Street 1:24440 STONE SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:DULLES
Practice Address - State:VA
Practice Address - Zip Code:20166-2247
Practice Address - Country:US
Practice Address - Phone:703-689-9000
Practice Address - Fax:703-689-0840
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN VIRGINIA COMMUNITY HOSPITAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty