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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PREMISE HEALTH OF VIRGINIA MEDICAL PC

Active Organization

PREMISE HEALTH OF VIRGINIA MEDICAL PC is a Clinic/Center organization located in MANASSAS, Virginia. NPI 1417476466 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · MANASSAS, VA

Registration Details

NPI Number
1417476466
Provider Type
Organization
NPI Issued
Sep 11, 2017 (8.9578891669367 yrs)
Last Updated
Feb 4, 2026

Practice Information

Address
9500 GODWIN DR BLDG 400
MANASSAS, VA, 201104166
Browse VA providers · Browse ZIP 20110
Phone
7033673950
Fax
7033672181
Primary Specialty
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.