FAIRFAX CONVENIENT CARE LLC – NPI #1760661391
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

FAIRFAX CONVENIENT CARE LLC is a provider located in FAIRFAX, VA. NPPES has assigned the NPI number 1760661391 to FAIRFAX CONVENIENT CARE LLC on October 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 18 years ago on Nov 25, 2008. 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 FAIRFAX CONVENIENT CARE LLC below.

NPI Profile for
FAIRFAX CONVENIENT CARE LLC

NPI Number
1760661391
Enumeration Date

(more than 18 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
FAIRFAX CONVENIENT CARE LLC
Primary location
8301 ARLINGTON BLVD
SUITE 100
FAIRFAX, VA 22031-2902
Phone: (703) 849-0900 Fax: (703) 208-7444
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RUDY JUBURI
PRESIDENT
Phone: (703) 849-0900
Updated
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
208D00000X
- General Practice (Primary)

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.