Firstcare Flu & Wellness, LLC
Health Maintenance Organization in Mc Lean, VA. Organization (NPI-2).
NPI number1093175663
StatusActive
Last updated in NPPESFeb 25, 2016
Details
- NPI
- 1093175663
- Entity type
- Organization (NPI-2)
- Legal business name
- Firstcare Flu & Wellness, LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 25, 2016
- Last updated
- Feb 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | 0102201555 | VA | Yes |
| 133NN1002X | Nutritionist, Nutrition, Education | 0102201555 | VA | |
| 171000000X | Military Health Care Provider | 0102201555 | VA | |
| 172V00000X | Community Health Worker | 0102201555 | VA | |
| 251E00000X | Home Health | 0102201555 | VA | |
| 253Z00000X | In Home Supportive Care | 0102201555 | VA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 0102201555 | VA |
Other names
- Firstcare Govsolutions (Other Name)
Practice location
1751 Pinnacle DrSuite 600
Mc Lean, VA 22102-4903
Phone 800-750-2019 · Fax 909-295-3142
Mailing address
1751 Pinnacle DrSuite 600
Mc Lean, VA 22102-4903
Phone 800-750-2019 · Fax 909-295-3142
Authorized official
Wilton Ricardo Scott
Ceo
9097842203
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