VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER; NPI #1972636330

Contact Information

VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER

719 NORTH 25TH STREET
RICHMOND, VA 23223-6539

Phone: 804-780-0840
Fax: 804-780-0862
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Case Management	251B00000X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER

NPI # 1972636330

LBN Legal business name VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER

Authorized official TRACY CAUSEY - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 03/14/2007

Last updated 11/17/2022 - About 4 years ago

Identifiers

Medicaid

007602740

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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