Provider Demographics
NPI:1053644526
Name:INOVA LOUDOUN HOSPITAL
Entity type:Organization
Organization Name:INOVA LOUDOUN HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIRBSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-858-6604
Mailing Address - Street 1:224 CORNWALL ST NW # B
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2701
Mailing Address - Country:US
Mailing Address - Phone:703-771-2060
Mailing Address - Fax:703-771-2110
Practice Address - Street 1:224 CORNWALL ST NW # B
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2701
Practice Address - Country:US
Practice Address - Phone:703-771-2060
Practice Address - Fax:703-771-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty