Organization · Type 2 NPI
Loudoun Community Health Center
Federally Qualified Health Center (FQHC) · Herndon, VA
NPI number
1629325758
Active
Practice location
1141 Elden Street, Third Floor
Herndon, VA 20170-5573
Fax (703) 435-6752
Mailing address
163 Fort Evans Rd NE
Leesburg, VA 20176-4420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
Other federally qualified health center (fqhc) providers in Herndon
About NPI 1629325758
Loudoun Community Health Center's National Provider Identifier is 1629325758, issued on Aug 8, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Herndon, VA. The record was last updated on Oct 29, 2014.