Healthcare Provider Details
I. General information
NPI: 1669775169
Provider Name (Legal Business Name): MEDICS USA MEDICAL CENTER ASHBURN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2010
Last Update Date: 06/21/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44050 ASHBURN SHOPPING PLZ
ASHBURN VA
20147-7915
US
IV. Provider business mailing address
16882 CLARKES GAP RD
PAEONIAN SPRINGS VA
20129-1711
US
V. Phone/Fax
- Phone: 703-726-9401
- Fax: 540-338-1975
- Phone: 202-483-4400
- Fax: 540-338-1975
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | B007921 |
| License Number State | VA |
VIII. Authorized Official
Name:
XIAMISIYA
AIKEBAI
Title or Position: BILLING MANAGER
Credential:
Phone: 202-483-4400