Provider Demographics
NPI:1952998528
Name:CARECLIX NETWORK PC
Entity Type:Organization
Organization Name:CARECLIX NETWORK PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-481-2442
Mailing Address - Street 1:206 N WASHINGTON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2534
Mailing Address - Country:US
Mailing Address - Phone:571-481-2442
Mailing Address - Fax:
Practice Address - Street 1:206 N WASHINGTON ST STE 100
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2534
Practice Address - Country:US
Practice Address - Phone:571-481-2442
Practice Address - Fax:703-619-2442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1952998528OtherCOMMERCIAL CARRIERS