ALTMED MEDICAL CENTER, INC – NPI #1154561389
Preventive Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Health Care Provider Taxonomy Code for Preventive Medicine

ALTMED MEDICAL CENTER, INC is a provider located in MANASSAS, VA. NPPES has assigned the NPI number 1154561389 to ALTMED MEDICAL CENTER, INC on February 27, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083A0300X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 2 years ago on May 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALTMED MEDICAL CENTER, INC below.

NPI Profile for
ALTMED MEDICAL CENTER, INC

NPI Number
1154561389
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALTMED MEDICAL CENTER, INC
Primary location
8551 RIXLEW LANE
SUITE 140
MANASSAS, VA 20109-4278
Phone: (703) 361-4357 Fax: (703) 361-0346
Mailing address
P.O. BOX 2041
MANASSAS, VA 20108-0815
Phone: (703) 361-4357 Fax: (703) 361-0346
Organization Subpart
No
Authorized Official
GERALD LEE
MEDICAL DIRECTOR
Phone: (703) 361-4357
Updated
Certification Date
May 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083A0300X
- Preventive Medicine / Addiction Medicine (Primary)
208D00000X
- General Practice		 MD D0054211
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.