Basic Information
| Provider Information | |||||||||
| NPI: | 1750827523 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARRISONBURG COMMUNITY HEALTH CENTER INC | ||||||||
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| OtherOrganizationName: | COMMUNITY HEALTH CENTER OF ELKTON | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 308 | ||||||||
| Address2: | |||||||||
| City: | HARRISONBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 228030308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5404334913 | ||||||||
| FaxNumber: | 8042377697 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 SHENANDOAH AVENUE | ||||||||
| Address2: | SUITE 170 | ||||||||
| City: | ELKTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22827 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5402989900 | ||||||||
| FaxNumber: | 5402988991 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2017 | ||||||||
| LastUpdateDate: | 01/17/2017 | ||||||||
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| AuthorizedOfficialLastName: | BRICKER | ||||||||
| AuthorizedOfficialFirstName: | LISA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 5404334913 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QF0400X | Y | Ambulatory Health Care Facilities | Clinic/Center | Federally Qualified Health Center (FQHC) |
No ID Information.