VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER (NPI# 1588797997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588797997 |
Entity Type | Organization |
Organization Name | VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER |
Other Organization Name | MAIN STREET MEDICAL |
Practice Address |
2025 E Main St Ste 7 Richmond VA 23223-7069 |
Mailing Address |
2025 E Main St Ste 101 Richmond VA 23223-7072 |
Practice Telephone | 8045912890 |
Practice Fax Number | 8045912895 |
Mailing Telephone | 8045912890 |
Mailing Fax Number | 8045912895 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2010-06-28 |
Authorized Official Name | TRACY CAUSEY (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 8042531968 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 010354714 | 05 |
Other Name | Type Code |
---|---|
Main Street Medical | Doing Business As Name - 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 |
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 |
1023517604 | Vernon J Harris East End Community Health Center | Clinic/Center | 4615 Ferguson Ln, Richmond, VA 23234-1950 | 2018-02-08 |
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 |
2025 E MAIN ST STE 7 |
City | RICHMOND |
State | VA |
Zip Code | 23223-7069 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295291953 | Hope Pharmacy, Inc. | Pharmacy | 1330 N. 25th Street, Richmond, VA 23223 | 2019-02-18 |
1063918019 | Terri Ann Russell | Social Worker | Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 | 2018-03-30 |
1871092171 | Sharon H. Joyner | Non-emergency Medical Transport (VAN) | 3217 Arthurwood Pl, Richmond, VA 23223 | 2018-02-02 |
1497275309 | Jennifer Lynn Dent | Physical Therapist | 10 S 20th Street, Unit U408, Richmond, VA 23223 | 2017-06-21 |
1568982551 | Andrea Sledd | Social Worker | 200 N. 22nd Street, Richmond, VA 23223 | 2017-06-21 |
1528597903 | Ashley Telisa Battle | Physical Therapy Assistant | 12100 Chancellors Village Lane, Fredericksburg, VI 23223 | 2017-06-08 |
1811436199 | Dedric Lee Sr. | Home Health Aide | 527 N Laburnum Ave Apt 2, Richmond, VA 23223 | 2017-02-20 |
1619424181 | Brighter Prospective Residential Services, LLC | Transportation Broker | 2509 Tonoka Road, Henrico, VA 23223 | 2016-09-01 |
1629425277 | Spread Your Wings | Non-emergency Medical Transport (VAN) | 709 Hallwood Farms Dr., Richmond, VA 23223 | 2016-05-24 |
1396120010 | Robert Reaves Griffin IIi | Pharmacist | 3601 Mechanicsville Turnpike, Richmond, VA 23223 | 2015-07-23 |
Find all providers in zip 23223 |
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 |
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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.