| Loudoun Community Health Center | |
|
1141 Elden Street Third Floor Herndon VA 20170-5573 | |
| (703) 481-8160 | |
| (703) 435-6752 |
| Full Name | Loudoun Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1141 Elden Street, Herndon, Virginia |
| Authorized Official Name and Position | Carol Jameson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7038404704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loudoun Community Health Center 163 Fort Evans Rd Ne Leesburg VA 20176-4420 Ph: (703) 840-4707 | Loudoun Community Health Center 1141 Elden Street Third Floor Herndon VA 20170-5573 Ph: (703) 481-8160 |
| NPI Number | 1629325758 |
|---|---|
| Provider Enumeration Date | 08/08/2012 |
| Last Update Date | 10/29/2014 |
| Medicare PECOS PAC ID | 5193822930 |
|---|---|
| Medicare Enrollment ID | O20121022000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629325758 | NPI | - | NPPES |
| 1629325758 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Medical Response Partners, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13530 Dulles Technology Dr Ste 500, Herndon, VA 20171 Phone: 607-821-9124 | |
Healthcar, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 Highcourt Ln Apt 103, Herndon, VA 20170 Phone: 571-239-1139 | |
Nova Health Management & Research Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13505 Dulles Technology Dr, Suite 1a, Herndon, VA 20171 Phone: 703-404-5905 Fax: 703-421-1099 | |
Oliver Pain Relief And Rehab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 Sterling Rd Ste 106, Herndon, VA 20170 Phone: 703-904-8528 Fax: 703-904-8529 | |
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Longview International Technology Solutions, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12930 Worldgate Dr Ste 300, Herndon, VA 20170 Phone: 412-629-0180 | |
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