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Organization

ALEXANDRIA NEIGHBORHOOD HEALTH SERVICES, INC.

Active
Other names
ANHSI-King Street Dental
Organization subpart
No

Provider details

NPI number
Authorized official
SHERRI GOEMMER (CFO)
(703) 535-5568
Entity
Organization

Contact information

Practice address
4480 KING ST, ALEXANDRIA, VA 22302-1300
(703) 535-5568
Mailing address
PO BOX 4320, GLEN ALLEN, VA 23058-4320
(703) 535-5568

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164620027
VA
Enumeration date
12/19/2013
Last updated
01/08/2014
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