Provider Demographics
NPI:1306881024
Name:HEALTH SYSTEMS INCORPORATED
Entity type:Organization
Organization Name:HEALTH SYSTEMS INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUSEYI
Authorized Official - Middle Name:AKINWALE
Authorized Official - Last Name:ADEGOROYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-830-8113
Mailing Address - Street 1:PO BOX 612
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20122-0612
Mailing Address - Country:US
Mailing Address - Phone:703-830-8113
Mailing Address - Fax:703-830-8276
Practice Address - Street 1:14001A SAINT GERMAIN DR
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2338
Practice Address - Country:US
Practice Address - Phone:703-830-8113
Practice Address - Fax:703-830-8276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care