Potomac Hospital Corporation of Prince William
Potomac Hospital Corporation of Prince William is a Clinic/Center in Lake Ridge, Virginia. Licensed in Virginia. Registered with an NPI since 2012.
- Licensed in
- VA
- In the registry since
- 2012
Practice location Address checks out
12825 Minnieville RdLake Ridge, VA 22192-9998
Phone: (703) 523-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X (VA) |
|---|
Record details
| NPI number | 1366718215 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Sentara Healthcare |
| Authorized official | Robert Broermann — Svp/Cfo · (757) 455-7020 |
| Other names | Lake Ridge |
| NPI enumerated | March 26, 2012 |
| Last updated in NPPES | March 26, 2012 |
| Mailing address | 12825 Minnieville Road, Lake Ridge, VA 22192-9998 |