VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER NPI 1972636330

NPI Information

VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Richmond, VA. VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER NPI is 1972636330. The provider is registered as an organization entity type.
The provider Is Doing Business As Capital Area Health Network - Vernon J. Harris Medical Center.

The provider's business location address is:

719 NORTH 25TH STREET
RICHMOND, VA
ZIP 23223-539
Phone: (804) 780-0840
Fax: (804) 780-0862

The provider's authorized official is Tracy Causey .
The authorized official title is Chief Executive Officer and has the following contact phone number (804) 253-1968.

The CLIA number assigned to this NPI record is 49D0959858 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/14/2007 and was last updated on 5/18/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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