Basic Information
| Provider Information | |||||||||
| NPI: | 1215482252 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARRISONBURG COMMUNITY HEALTH CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1380 LITTLE SORRELL DR STE 100 | ||||||||
| Address2: | |||||||||
| City: | HARRISONBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 228017372 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5404334913 | ||||||||
| FaxNumber: | 5402363699 | ||||||||
| Practice Location | |||||||||
| Address1: | 1380 LITTLE SORRELL DR STE 100 | ||||||||
| Address2: | |||||||||
| City: | HARRISONBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 228017372 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5404334913 | ||||||||
| FaxNumber: | 5402363699 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2016 | ||||||||
| LastUpdateDate: | 08/19/2016 | ||||||||
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| AuthorizedOfficialLastName: | BRICKER | ||||||||
| AuthorizedOfficialFirstName: | LISA | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5404334913 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QC1500X | 0024173713 | VA | Y | Ambulatory Health Care Facilities | Clinic/Center | Community Health |
No ID Information.