Basic Information
| Provider Information | |||||||||
| NPI: | 1871927376 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALEXANDRIA NEIGHBORHOOD HEALTH SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2445 ARMY NAVY DRIVE | ||||||||
| Address2: | ATTN: SHEILA TRIA | ||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7035355568 | ||||||||
| FaxNumber: | 8882187289 | ||||||||
| Practice Location | |||||||||
| Address1: | 2445 ARMY NAVY DRIVE | ||||||||
| Address2: | ATTN: SHEILA TRIA | ||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7035355568 | ||||||||
| FaxNumber: | 8882187289 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/03/2013 | ||||||||
| LastUpdateDate: | 09/03/2013 | ||||||||
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| AuthorizedOfficialLastName: | TRIA | ||||||||
| AuthorizedOfficialFirstName: | SHEILA | ||||||||
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| AuthorizedOfficialTitleorPosition: | HR DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7035355568 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MBA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | 0101253318 | VA | Y | Ambulatory Health Care Facilities | Clinic/Center |
No ID Information.