{"npi":"1548366404","type":"NPI-2","status":"active","name":{"display":"Potomac Hospital Corporation Of Prince William","other":[],"organization_name":"POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM","authorised_official":"Melinda Hancock"},"specialty":{"primary_taxonomy":"282N00000X","primary_taxonomy_description":"General Acute Care Hospital","slug":"general-acute-care-hospital","schema_org_specialty":null,"all":[{"code":"282N00000X","description":"General Acute Care Hospital","primary":true,"state":"VA","license":"H1771"}]},"addresses":[{"purpose":"LOCATION","street_1":"2300 OPITZ BLVD","city":"WOODBRIDGE","state":"VA","postal_code":"221913311","country_code":"US","street_2":"PATIENT FINANCIAL SERVICES","phone":"7036701595","fax":"7036703267"},{"purpose":"MAILING","street_1":"2300 OPITZ BLVD","city":"WOODBRIDGE","state":"VA","postal_code":"221913311","country_code":"US","street_2":"PATIENT FINANCIAL SERVICES","phone":"7036701595","fax":"7036703267"}],"license":{"state":"VA","number":"H1771"},"identifiers":[{"type_code":"01","label":"Other","value":"000028","state":"VA","issuer":"ANTHEM BCBS"},{"type_code":"01","label":"Other","value":"293165","state":"VA","issuer":"ANTHEM HCFA"},{"type_code":"05","label":"Medicaid","value":"4901134","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20031004000007","type_code":"00-09","type_desc":"PART A PROVIDER - HOSPITAL","state":"VA","pac_id":"3173435112"},{"enrlmt_id":"O20200122000004","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"VA","pac_id":"3173435112"},{"enrlmt_id":"O20241011001340","type_code":"12-31","type_desc":"PART B SUPPLIER - INTENSIVE CARDIAC REHABILITATION","state":"VA","pac_id":"3173435112"}]},"enumeration_date":"2006-09-16","last_updated":"2025-12-11","_meta":{"source":"NPPES","snapshot_date":"2025-12-11","doc_url":"https://findmynpi.com/api"}}