Organization
VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER
Active
Parent organization
VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER
Other names
Glenwood Medical Center, Capital Area Health Network - Glenwood Medical & Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER
Authorized official
TRACY CAUSEY (CHIEF EXECUTIVE OFFICER)
(804) 253-1968
Entity
Organization
Contact information
Practice address
2711 BYRON ST, RICHMOND, VA 23223-1313
(804) 525-1818
(804) 525-1820
Mailing address
2809 NORTH AVE, RICHMOND, VA 23222-3647
(804) 780-0840
(804) 329-1206
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396078135
—
VA
Enumeration date
09/11/2009
Last updated
11/17/2022
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