Provider Demographics
NPI:1710799465
Name:ALEXANDRIA OPTIMUM HEALTH LLC
Entity type:Organization
Organization Name:ALEXANDRIA OPTIMUM HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:P
Authorized Official - Last Name:GABBERT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:703-722-6700
Mailing Address - Street 1:6354 WALKER LN STE 350
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-3256
Mailing Address - Country:US
Mailing Address - Phone:703-722-6700
Mailing Address - Fax:833-973-3867
Practice Address - Street 1:6354 WALKER LN STE 350
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3256
Practice Address - Country:US
Practice Address - Phone:703-722-6700
Practice Address - Fax:833-973-3867
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPTIMUM HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care