VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER (NPI# 1023517604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023517604 |
| Entity Type | Organization |
| Organization Name | VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER |
| Other Organization Name | BROAD ROCK RICHMOND CITY COMMUNITY SCHOOLS |
| Practice Address |
4615 Ferguson Ln Richmond VA 23234-1950 |
| Mailing Address |
Po Box 27947 Richmond VA 23261-7947 |
| Practice Telephone | 8047800840 |
| Practice Fax Number | 8047800862 |
| Mailing Telephone | 8047800840 |
| Mailing Fax Number | 8044201140 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Authorized Official Name | TRACY CAUSEY (CEO) |
| Authorized Official Telephone | 8042531968 |
| Authorized Official Credential | MSPH, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Broad Rock Richmond City Community Schools | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
| 1184177743 | Vernon J Harris East End Community Health Center | Clinic/Center | 7945 Forest Hill Ave, Richmond, VA 23225-1932 | 2016-08-01 |
| 1760833008 | Vernon J Harris East End Community Health Center | Clinic/Center | 1718 Williamsburg Rd, Richmond, VA 23231-3428 | 2016-06-28 |
| 1710225818 | Vernon J Harris East End Community Health Center | Clinic/Center | 2740 Bensley Commons Boulevard, Chesterfield, VA 23234 | 2013-01-24 |
| 1396078135 | Vernon J Harris East End Community Health Center | Clinic/Center | 2711 Byron St, Richmond, VA 23223-1313 | 2009-09-11 |
| 1588797997 | Vernon J Harris East End Community Health Center | Clinic/Center | 2025 E Main St Ste 7, Richmond, VA 23223-7069 | 2007-03-14 |
| 1972636330 | Vernon J Harris East End Community Health Center | Clinic/Center | 719 North 25th Street, Richmond, VA 23223-6539 | 2007-03-14 |
| 1366920530 | Vernon J Harris East End Community Health Center | Clinic/Center | 1500 N Lombardy St, Richmond, VA 23220-1711 | 2018-07-31 |
| 1528491594 | Vernon J Harris East End Community Health Center | Clinic/Center | 719 N 25th St, Richmond, VA 23223-6539 | 2013-08-14 |
| 1871818153 | Vernon J Harris East End Community Health Center | Clinic/Center | 101 Cowardin Ave, Suite 102, Richmond, VA 23224-2078 | 2010-03-30 |
| Street Address |
4615 FERGUSON LN |
| City | RICHMOND |
| State | VA |
| Zip Code | 23234-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679710578 | Family Preservation Services, Inc | Community/Behavioral Health | 4615 Ferguson Ln, Richmond, VA 23234-1950 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750941415 | Sabrina Branch Griffin | Registered Nurse | 3513 Skipping Rock Way, Richmond, VA 23234 | 2019-06-15 |
| 1306368782 | Nile LLC. | Taxi | 5580 Heatherhill Dr., North Chesterfield, VA 23234 | 2017-07-07 |
| 1467808923 | Donnell Fonville | Driver | 4137 Woodfield Rd, N Chesterfield, VA 23234 | 2016-05-13 |
| 1710225818 | Vernon J Harris East End Community Health Center | Clinic/Center | 2740 Bensley Commons Boulevard, Chesterfield, VA 23234 | 2013-01-24 |
| 1063799260 | Professional Mental Health Educational Consultants, LLC | Psychologist | 4222 Bonnie Bank Road, Suite 300, Richmond, VA 23234 | 2011-11-16 |
| 1184930463 | Abundant Life Center IIh & Mhss | Community/Behavioral Health | 4222 Bonniebank Rd #304, Richmond, VA 23234 | 2010-08-25 |
| 1164675385 | Kingdom Dominion LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7024 O Malley Dr, Same, Richmond, VA 23234 | 2008-10-31 |
| 1417128463 | Tsg Services, Inc. | Day Training, Developmentally Disabled Services | 6401 Irongate Drive, Richmond, VA 23234 | 2008-03-18 |
| 1942479381 | Coretha Marie Claiborn | Counselor | 700 S. Sycamore Street, Suite 6, Petersburg, VA 23234 | 2008-02-29 |
| 1366572372 | Kids In Focus II, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6507 Irongate Road, Richmond, VA 23234 | 2007-03-07 |
| Find all providers in zip 23234 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578194049 | Meridian Health Services Corp | Clinic/Center | 520 S 9th St Ste A, Richmond, IN 47374-6230 | 2020-02-03 |
| 1649825092 | The Daily Planet Inc | Clinic/Center | 1532 High St, Richmond, VA 23220-2314 | 2019-08-02 |
| 1528539590 | Meridian Health Services Corp | Clinic/Center | 498 Nw 18th St., Bldg 416 Sted D, Bldg 416 Ste D, Richmond, IN 47374-2851 | 2018-12-17 |
| 1861909731 | The Daily Planet Inc | Clinic/Center | 2864 Hull St, Richmond, VA 23224-3680 | 2018-01-02 |
| 1689186785 | Meridian Health Services Corp | Clinic/Center | 630 E Main Street, Suite 200, Richmond, IN 47374-4358 | 2017-10-30 |
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
| 1184177743 | Vernon J Harris East End Community Health Center | Clinic/Center | 7945 Forest Hill Ave, Richmond, VA 23225-1932 | 2016-08-01 |
| 1760833008 | Vernon J Harris East End Community Health Center | Clinic/Center | 1718 Williamsburg Rd, Richmond, VA 23231-3428 | 2016-06-28 |
| 1699029330 | Lifelong Medical Care Richmond Clinic | Clinic/Center | 2400 Nevin Ave, Richmond, CA 94804-1700 | 2012-11-02 |
| 1659669596 | The Daily Planet Inc | Clinic/Center | 700 Dinwiddie Ave, Richmond, VA 23224-5522 | 2011-07-13 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.