VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER (NPI# 1881883007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881883007 |
| Entity Type | Organization |
| Organization Name | VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER |
| Other Organization Name | NORTHSIDE MEDICAL CENTER |
| Practice Address |
2809 North Ave Suite 206 Richmond VA 23222-3647 |
| Practice Telephone | 8045251800 |
| Practice Fax Number | 8045251811 |
| Mailing Telephone | 8045251800 |
| Mailing Fax Number | 8045251811 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | TRACY CAUSEY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8045912890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1881883007 | 05 |
| Other Name | Type Code |
|---|---|
| Northside Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
| 1184177743 | Vernon J Harris East End Community Health Center | Clinic/Center | 7945 Forest Hill Ave, Richmond, VA 23225-1932 | 2016-08-01 |
| 1760833008 | Vernon J Harris East End Community Health Center | Clinic/Center | 1718 Williamsburg Rd, Richmond, VA 23231-3428 | 2016-06-28 |
| 1710225818 | Vernon J Harris East End Community Health Center | Clinic/Center | 2740 Bensley Commons Boulevard, Chesterfield, VA 23234 | 2013-01-24 |
| 1396078135 | Vernon J Harris East End Community Health Center | Clinic/Center | 2711 Byron St, Richmond, VA 23223-1313 | 2009-09-11 |
| 1588797997 | Vernon J Harris East End Community Health Center | Clinic/Center | 2025 E Main St Ste 7, Richmond, VA 23223-7069 | 2007-03-14 |
| 1972636330 | Vernon J Harris East End Community Health Center | Clinic/Center | 719 North 25th Street, Richmond, VA 23223-6539 | 2007-03-14 |
| 1366920530 | Vernon J Harris East End Community Health Center | Clinic/Center | 1500 N Lombardy St, Richmond, VA 23220-1711 | 2018-07-31 |
| 1023517604 | Vernon J Harris East End Community Health Center | Clinic/Center | 4615 Ferguson Ln, Richmond, VA 23234-1950 | 2018-02-08 |
| 1528491594 | Vernon J Harris East End Community Health Center | Clinic/Center | 719 N 25th St, Richmond, VA 23223-6539 | 2013-08-14 |
| Street Address |
2809 NORTH AVE SUITE 206 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23222-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074588 | Barbara J. Steele | Pediatrics | 2809 North Ave, Richmond, VA 23222-3647 | 2005-06-24 |
| 1477024602 | Rodrigo S Santillan | Physician Assistant | 2809 North Ave, Richmond, VA 23222-3647 | 2018-12-16 |
| 1023566908 | Juliette Staples | Nurse Practitioner | 2809 North Ave, Richmond, VA 23222-3647 | 2016-09-20 |
| 1881063659 | Kim Vu | Nurse Practitioner | 2809 North Ave, Richmond, VA 23222-3647 | 2015-09-22 |
| 1336313253 | Dayna M Vango | Nurse Practitioner | 2809 North Ave, Richmond, VA 23222-3647 | 2008-04-22 |
| 1700078383 | Cheryl M Belle Md P C | Family Medicine | 2809 North Ave, Suite 100, Richmond, VA 23222-3647 | 2007-08-16 |
| 1255423448 | Cheryl M Belle | Family Medicine | 2809 North Ave, Suite 100, Richmond, VA 23222-3647 | 2006-09-28 |
| 1528084084 | Reddy Medical Associates P.C. | Pharmacy | 2809 North Ave, 103, Richmond, VA 23222-3647 | 2006-07-15 |
| 1407829021 | Kathleen Mary Sardegna | Pediatrics | 2809 North Ave, Richmond, VA 23222-3647 | 2006-02-13 |
| 1295707966 | Vernon J Harris East End Community Health Center | Clinic/Center | 2809 North Ave, Richmond, VA 23222-3647 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741832 | Ruth Rebecca Gough | Technician | 2105 Greenwood Ave, Richmond, VA 23222 | 2019-10-11 |
| 1639664469 | Leaanna H Miller | Midwife | 3416 Hawthorne Ave, Richmond, VA 23222 | 2018-06-25 |
| 1093206088 | Christina Sherelle Bowman-peterson | Social Worker | 2300 First Avenue, Richmond, VA 23222 | 2018-05-24 |
| 1548773948 | Ann Ward | Counselor | 2217 E. Franklin Street, Richmond, VA 23222 | 2017-11-08 |
| 1043720501 | Coreena Eleanor Barnes | Case Manager/Care Coordinator | 3506 Westcliffe Ave, Richmond, VA 23222 | 2017-10-10 |
| 1326450586 | Breaking Barriers In Schools & Communities,llc | Case Management | 3610 Noble Avenue, Richmond, VA 23222 | 2014-05-22 |
| 1730365768 | A Better Look Home Improvement | Durable Medical Equipment & Medical Supplies | 7 King Street, Richmond, VA 23222 | 2008-01-22 |
| 1588735955 | Lillie Robinson Bennett | Pediatrics | 2809 North Avenue, #201, Richmond, VA 23222 | 2006-11-10 |
| 1952481962 | Deniese Counts Melenbrink | Social Worker | 705 Dawn Street, Richmond, VA 23222 | 2006-10-16 |
| 1588828040 | Susan M Kohler Lpc LLC | Counselor | 907 Westwood Ave, Richmond, VA 23222 | 2008-07-14 |
| Find all providers in zip 23222 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1528539590 | Meridian Health Services Corp | Clinic/Center | 498 Nw 18th St., Bldg 416 Sted D, Bldg 416 Ste D, Richmond, IN 47374-2851 | 2018-12-17 |
| 1861909731 | The Daily Planet Inc | Clinic/Center | 2864 Hull St, Richmond, VA 23224-3680 | 2018-01-02 |
| 1689186785 | Meridian Health Services Corp | Clinic/Center | 630 E Main Street, Suite 200, Richmond, IN 47374-4358 | 2017-10-30 |
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
| 1184177743 | Vernon J Harris East End Community Health Center | Clinic/Center | 7945 Forest Hill Ave, Richmond, VA 23225-1932 | 2016-08-01 |
| 1760833008 | Vernon J Harris East End Community Health Center | Clinic/Center | 1718 Williamsburg Rd, Richmond, VA 23231-3428 | 2016-06-28 |
| 1699029330 | Lifelong Medical Care Richmond Clinic | Clinic/Center | 2400 Nevin Ave, Richmond, CA 94804-1700 | 2012-11-02 |
| 1659669596 | The Daily Planet Inc | Clinic/Center | 700 Dinwiddie Ave, Richmond, VA 23224-5522 | 2011-07-13 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.