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HEALTH BRIGADE NPI 1629519111


NPI Information

NPI: 1629519111
Provider Name: HEALTH BRIGADE

Former Legal Business Name: FAN FREE CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1010 N THOMPSON ST
RICHMOND, VA
ZIP 23230
Phone: (804) 358-6343
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HEALTH BRIGADE is an internal medicine in Richmond, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. HEALTH BRIGADE NPI is 1629519111. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Fan Free Clinic.

The provider's business location address is:

1010 N THOMPSON ST
RICHMOND, VA
ZIP 23230-924
Phone: (804) 358-6343

The provider's authorized official is Karen Legato .
The authorized official title is Executive Director and has the following contact phone number (804) 716-5830.

The enumeration date for this NPI number is 3/16/2017 and was last updated on 2/9/2022.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
41041C0700XSocial WorkerClinicalNo
5133N00000XNutritionistNo
6133NN1002XNutritionistNutrition, EducationNo
7163W00000XRegistered NurseNo
8163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
9163WC0400XRegistered NurseCase ManagementNo
10163WC1500XRegistered NurseCommunity HealthNo
11207QA0505XFamily MedicineAdult MedicineNo
12363LA2200XNurse PractitionerAdult HealthNo
13363LF0000XNurse PractitionerFamilyNo
14363LP2300XNurse PractitionerPrimary CareNo
15207R00000XInternal MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11467735324OTHERVIRGINIACMS

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: 4/28/2024

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