GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC
NPI 1770914939
Clinic/Center - Federally Qualified Health Center (FQHC) in Manassas, VA

Q: What is Greater Prince William Area Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since December 12, 2013

9705 LIBERIA AVE, MANASSAS, VA 20110(703) 680-7950(703) 680-7953 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Greater Prince William Area Community Health Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC (NPI 1770914939), doing business as Evergreen Terrace Building, is a healthcare organization registered as a federally qualified health center (fqhc) in Manassas, Virginia and active in the NPI registry since December 2013. The organization lists Melissa Moorer, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1770914939

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameGREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC

Location Address9705 LIBERIA AVEManassas, VA 20110-1743

Mailing Address3350 Commission CtWoodbridge, VA 22192-1784 · (703) 680-7950 · Fax (703) 680-7953

Phone(703) 680-7950

Fax(703) 680-7953

Organization SubpartYes

Authorized OfficialMelissa MoorerDirector Of Revenue Cycle · (540) 295-4014

Enumeration DateDecember 12, 2013

Last NPPES UpdateJanuary 5, 2026

NPPES CertifiedJanuary 5, 2026

✔ NPI 1770914939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

9705 LIBERIA AVE, Manassas, VA 20110

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Other Names 2

Doing Business AsEvergreen Terrace Building

Doing Business AsLunera Health

Other Identifiers 1

Medicaid1770914939VA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUSSIEN A AL-SHAMMAA M. D.,F.A.A.P.

Pediatrics (Adolescent Medicine)