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Contact Information

RADER CLINIC
401 CARPENTER RD
FORT MYER, VA22211-1009
 Phone: 703-696-3447
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for RADER CLINIC

NPI # 1518958545
LBN Legal business name RADER CLINIC
Authorized official STACY USHER - (FAMILY NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2005
Last updated 05/14/2013 - About 13 years ago
Identifiers
CA License # 495950
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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