LOUDOUN COMMUNITY HEALTH CENTER NPI 1629109806

NPI Information

LOUDOUN COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Leesburg, VA. LOUDOUN COMMUNITY HEALTH CENTER NPI is 1629109806. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthworks For Northern Virginia.

The provider's business location address is:

163 FORT EVANS ROAD NE
LEESBURG, VA
ZIP 20176-420
Phone: (703) 443-2000
Fax: (703) 443-2033

The provider's authorized official is Carol Jameson .
The authorized official title is Executive Director and has the following contact phone number (703) 840-4704.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 10/20/2014.

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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