CAPITAL AREA HEALTH NETWORK - NORTHSIDE MEDICAL CENTER – NPI #1881883007
Clinic/Center

CAPITAL AREA HEALTH NETWORK - NORTHSIDE MEDICAL CENTER is an AHC clinic located in RICHMOND, VA. NPPES has assigned the NPI number 1881883007 to CAPITAL AREA HEALTH NETWORK - NORTHSIDE MEDICAL CENTER on October 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAPITAL AREA HEALTH NETWORK - NORTHSIDE MEDICAL CENTER” is a dba name, the actual legal business name for this organization is VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Nov 17, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAPITAL AREA HEALTH NETWORK - NORTHSIDE MEDICAL CENTER below.

NPI Profile for
VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER

NPI Number
1881883007
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER
Doing Business As (dba): CAPITAL AREA HEALTH NETWORK - NORTHSIDE MEDICAL CENTER
Primary location
2809 NORTH AVE
RICHMOND, VA 23222-3647
Phone: (804) 780-0840 Fax: (804) 329-1206
Mailing address
Same as primary location
Organization Subpart
Yes - CAPITAL AREA HEALTH NETWORK - NORTHSIDE MEDICAL CENTER is subpart of another organization.
Authorized Official
TRACY CAUSEY
CHIEF EXECUTIVE OFFICER
Phone: (804) 253-1968
Updated
Certification Date
Nov 17, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CAPITAL AREA HEALTH NETWORK - NORTHSIDE MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidVA1881883007
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.