Basic Information
| Provider Information | |||||||||
| NPI: | 1871775882 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARRISONBURG COMMUNITY HEALTH CENTER, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 308 | ||||||||
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| City: | HARRISONBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 228030308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5404334913 | ||||||||
| FaxNumber: | 5404334915 | ||||||||
| Practice Location | |||||||||
| Address1: | 1380 LITTLE SORRELL DRIVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | HARRISONBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5404334913 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2007 | ||||||||
| LastUpdateDate: | 06/28/2016 | ||||||||
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| AuthorizedOfficialLastName: | BRICKER | ||||||||
| AuthorizedOfficialFirstName: | LISA | ||||||||
| AuthorizedOfficialMiddleName: | MICHELLE | ||||||||
| AuthorizedOfficialTitleorPosition: | ED | ||||||||
| AuthorizedOfficialTelephone: | 5402363683 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0024129529 | VA | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.