Potomac Hospital Corporation of Prince William
NPI 1366718215 · Clinic/Center · Lake Ridge, VA
Potomac Hospital Corporation of Prince William is a Clinic/Center organization in Lake Ridge, VA (NPI 1366718215).
Provider details
- NPI number
- 1366718215
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Sentara Healthcare
- Organization subpart
- Yes
- Authorized official
- Robert Broermann, Svp/Cfo(757) 455-7020
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Ridge
Registry dates
- Enumerated
- 2012-03-26
- Last updated
- 2012-03-26
Frequently asked questions
- What is Potomac Hospital Corporation of Prince William's NPI number?
- Potomac Hospital Corporation of Prince William's National Provider Identifier (NPI) is 1366718215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Potomac Hospital Corporation of Prince William?
- Potomac Hospital Corporation of Prince William is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Potomac Hospital Corporation of Prince William located?
- Potomac Hospital Corporation of Prince William's practice location on file with NPPES is 12825 Minnieville Road, Lake Ridge, VA 22192-9998.
- What is Potomac Hospital Corporation of Prince William's phone number?
- The practice phone number listed in the NPPES registry for Potomac Hospital Corporation of Prince William is (703) 523-9800.
- Who is the authorized official for Potomac Hospital Corporation of Prince William?
- The authorized official listed on Potomac Hospital Corporation of Prince William's NPPES record is Robert Broermann, Svp/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Potomac Hospital Corporation of Prince William's NPI active?
- Yes — Potomac Hospital Corporation of Prince William's NPI (1366718215) is active in the NPPES registry as of the last update on 2012-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.