DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM

MEDICARE: POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care HospitalH1771VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000028OTHERVAANTHEM BCBS
2293165OTHERVAANTHEM HCFA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548366404
Entity Type Code : Organization
Provider Name (Legal Business Name) : POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM
Provider Business Mailing Address
First Line : 2300 OPITZ BLVD
Second Line : PATIENT FINANCIAL SERVICES
City : WOODBRIDGE
State : VA
Zip : 22191-3311
Country : US
Telephone Number : 703-670-1595
Fax Number : 703-670-3267
Provider Business Practice Location Address
First Line : 2300 OPITZ BLVD
Second Line : PATIENT FINANCIAL SERVICES
City : WOODBRIDGE
State : VA
Zip : 22191-3311
Country : US
Telephone Number : 703-670-1595
Fax Number : 703-670-3267
Authorized Official
Title or Position : CFO
Name : MELINDA SUMMERLIN HANCOCK
Credential :
Telephone Number : 757-455-7458
Provider Enumeration Date : 09/16/2006
Last Update Date : 12/11/2025

Similar Medicare Providers

1730180944 — BESTPRACTICES, INC.
Practice Location Address:
2300 OPITZ BLVD
WOODBRIDGE, VA
22191-3311
Practice Phone: 703-670-1313
Practice Fax: 904-346-0113
1609861145 — DR. CAROL SADIE SHAPIRO MD
Practice Location Address:
2300 OPITZ BLVD
WOODBRIDGE, VA
22191-3311
Practice Phone: 703-523-0660
Practice Fax: 571-542-9965
1518952357 — DR. FRANCISCO T ESCARIO M.D.
Practice Location Address:
2300 OPITZ BLVD
WOODBRIDGE, VA
22191-3311
Practice Phone: 703-670-1357
Practice Fax:
1821088345 — LAWRENCE J ISRAEL MD
Practice Location Address:
2300 OPITZ BLVD
WOODBRIDGE, VA
22191-3311
Practice Phone: 703-670-1561
Practice Fax: 703-670-4961
1629068143 — ROBERT A OLSHAKER MD
Practice Location Address:
2300 OPITZ BLVD
WOODBRIDGE, VA
22191-3311
Practice Phone: 703-670-1561
Practice Fax: 703-670-4961
1205827425 — MICHAEL R REITZ DO
Practice Location Address:
2300 OPITZ BLVD STE G-209
WOODBRIDGE, VA
22191-3311
Practice Phone: 703-523-0611
Practice Fax: 703-670-2089

Directions to “POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.