Provider Demographics
NPI:1528347341
Name:INOVA HEALTH CARE SERVICES
Entity type:Organization
Organization Name:INOVA HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-289-2048
Mailing Address - Street 1:8100 INNOVATION PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4870
Mailing Address - Country:US
Mailing Address - Phone:571-472-1434
Mailing Address - Fax:571-472-1437
Practice Address - Street 1:8100 INNOVATION PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4870
Practice Address - Country:US
Practice Address - Phone:571-472-1434
Practice Address - Fax:571-472-1437
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INOVA HEALTH CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-10
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center