Provider Demographics
NPI:1881367217
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 1:24440 STONE SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:DULLES
Mailing Address - State:VA
Mailing Address - Zip Code:20166-2247
Mailing Address - Country:US
Mailing Address - Phone:571-349-4000
Mailing Address - Fax:
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:571-349-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN VIRGINIA COMMUNITY HOSPITAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-30
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit