LOUDOUN COMMUNITY HEALTH CENTER NPI 1629109806

NPI Information

NPI: 1629109806
Provider Name: LOUDOUN COMMUNITY HEALTH CENTER

Doing Business As: HEALTHWORKS FOR NORTHERN VIRGINIA

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
163 FORT EVANS ROAD NE
LEESBURG, VA
ZIP 20176
Phone: (703) 443-2000
Get Directions

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 CLIA number assigned to this NPI record is 49D1039731 - community clinic with a certificate type of Certificate of Waiver.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1629109806	MEDICAID	VIRGINIA
2	C10139	MEDICARE PIN	VIRGINIA
3	491887	MEDICARE OSCAR/CERTIFICATION	VIRGINIA

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: 5/5/2024

NPI Synchronization or Removal

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