Healthcare Provider Details

I. General information

NPI: 1336058957
Provider Name (Legal Business Name): HSP FAUQUIER PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400A HOSPITAL DR
WARRENTON VA
20186-3026
US

IV. Provider business mailing address

400A HOSPITAL DR
WARRENTON VA
20186-3026
US

V. Phone/Fax

Practice location:
  • Phone: 604-441-2990
  • Fax:
Mailing address:
  • Phone: 604-441-2990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CASSIE LOWE
Title or Position: DIRECTOR
Credential:
Phone: 513-639-0374