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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