Loudoun Community Health Center

NPI #1629325758 in Herndon, Virginia

Provider Information

NPI Number
1629325758
Entity Type
Organization
Organization Name
Loudoun Community Health Center
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 8, 2012
Last Updated
Oct 29, 2014

Practice Location

Address
1141 ELDEN STREET
Address 2
THIRD FLOOR
ZIP Code
20170-5573
Phone
(703) 481-8160

Authorized Official

Name
CAROL JAMESON, MSW
Title
EXECUTIVE DIRECTOR
Phone
(703) 840-4704

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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