Provider Type Icon

VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER NPI 1396078135

NPI Profile

NPI: 1396078135

Provider Name: VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER

Doing Business As: GLENWOOD MEDICAL CENTER

Classification: Clinic/Center - 261QF0400X

Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2711 BYRON ST
RICHMOND, VA
ZIP 23223

Phone: (804) 525-1818

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 1396078135. The provider is registered as an organization entity type.
The provider Is Doing Business As Glenwood Medical Center.

The provider's business location address is:

2711 BYRON ST
RICHMOND, VA
ZIP 23223-313
Phone: (804) 525-1818
Fax: (804) 525-1820

The provider's authorized official is Tracy Causey .
The authorized official title is Executive Director and has the following contact phone number (804) 591-2890.

The enumeration date for this NPI number is 9/11/2009 and was last updated on 12/4/2012.

Map - Location of Practice

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) Yes

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: 8/11/2015