Summerville At Prince William, Inc

ActiveOrganizationSpecialty not listed
NPI issued: May 18, 2007

Quick Facts

NPI Number
1104034412
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy311500000X — Specialty not listed
Phone
(703) 680-0600
StateVA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104034412)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (May 18, 2007)
Data source: CMS NPPES

Provider Overview

SUMMERVILLE AT PRINCE WILLIAM, INC is a Healthcare provider based in Woodbridge, VA who has been registered with CMS since 2007. They are affiliated with Emeritus At Lake Ridge. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104034412
Provider TypeOrganization
StatusActive
Enumeration DateMay 18, 2007

Practice Location

CityWoodbridge
StateVA
ZIP Code22192-4513
Phone(703) 680-0600

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code311500000X
License StateVA

Mailing Address

CityWoodbridge
StateVA
ZIP Code22192-4513
Phone(703) 680-0600
Same as practice location

Hospital & Organization Affiliations

🏢

Emeritus At Lake Ridge

📍 ,

How to Use This NPI

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For Insurance Billing

Use NPI 1104034412 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104034412for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104034412 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →
📊
1,129
Specialty not listed Providers in the US

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Specialty not listed

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People Also Ask

What is Summerville At Prince William, Inc's NPI number?
Summerville At Prince William, Inc's NPI number is 1104034412, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Summerville At Prince William, Inc's NPI currently active?
Yes, Summerville At Prince William, Inc's NPI status is Active as of the latest CMS NPPES database updates.
What does Summerville At Prince William, Inc specialize in?
Summerville At Prince William, Inc specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 311500000X.
Where does Summerville At Prince William, Inc practice?
Summerville At Prince William, Inc practices in Woodbridge, VA 22192-4513.
When was Summerville At Prince William, Inc's NPI issued?
Summerville At Prince William, Inc's NPI was issued on May 18, 2007.
What is Summerville At Prince William, Inc's provider type?
Summerville At Prince William, Inc is registered as an Organization under CMS NPI Type 2.