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HEALTH BRIGADE NPI 1467735324


NPI Information

NPI: 1467735324
Provider Name: HEALTH BRIGADE

Former Legal Business Name: FAN FREE CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 49D0715382

Address:
1010 N. THOMPSON ST.
RICHMOND, VA
ZIP 23230
Phone: (804) 358-6343
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HEALTH BRIGADE is a multi-specialty clinic center in Richmond, VA. HEALTH BRIGADE NPI is 1467735324. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Fan Free Clinic.

The provider's business location address is:

1010 N. THOMPSON ST.
RICHMOND, VA
ZIP 23230-925
Phone: (804) 358-6343
Fax: (804) 354-0702

The provider's authorized official is Karen A. Legato .
The authorized official title is Executive Director and has the following contact phone number (804) 358-6343.

The CLIA number assigned to this NPI record is 49D0715382 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/27/2011 and was last updated on 3/24/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-Specialty101042501VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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