Organization
KUUMBA COMMUNITY HEALTH & WELLNESS CENTER, INC.
Active
Other names
New Horizons Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JONATHAN STEWART (CHIEF EXECUTIVE OFFICER)
(540) 861-1263
Entity
Organization
Contact information
Practice address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-5158
(540) 362-1448
Mailing address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-5158
(540) 362-1448
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007600321
—
VA
Enumeration date
01/16/2006
Last updated
10/23/2023
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