Provider Demographics
NPI:1871927376
Name:ALEXANDRIA NEIGHBORHOOD HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ALEXANDRIA NEIGHBORHOOD HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:703-535-5568
Mailing Address - Street 1:2445 ARMY NAVY DRIVE
Mailing Address - Street 2:ATTN: SHEILA TRIA
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22030
Mailing Address - Country:US
Mailing Address - Phone:703-535-5568
Mailing Address - Fax:888-218-7289
Practice Address - Street 1:2445 ARMY NAVY DRIVE
Practice Address - Street 2:ATTN: SHEILA TRIA
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:703-535-5568
Practice Address - Fax:888-218-7289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101253318261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========OtherFEDERALLY QUALIFIED HEALTH CENTER