Organization
LOUDOUN COMMUNITY HEALTH CENTER
Active
Organization
LOUDOUN COMMUNITY HEALTH CENTER
Active
Other names
HealthWorks for Northern Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL JAMESON MSW (EXECUTIVE DIRECTOR)
(703) 840-4704
Entity
Organization
Contact information
Practice address
1141 ELDEN STREET, THIRD FLOOR, HERNDON, VA 20170-5573
(703) 481-8160
(703) 435-6752
Mailing address
163 FORT EVANS RD NE, LEESBURG, VA 20176-4420
(703) 840-4707
(703) 771-4120
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629325758
—
VA
Enumeration date
08/08/2012
Last updated
10/29/2014
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