| The Southside Community Health Center Of Greater Richmond | |
|
180 E Belt Blvd Richmond VA 23224-1204 | |
| (804) 292-3011 | |
| (804) 783-2514 |
| Full Name | The Southside Community Health Center Of Greater Richmond |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 E Belt Blvd, Richmond, Virginia |
| Authorized Official Name and Position | Beth Merchent (CEO) |
| Authorized Official Contact | 8047832505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Southside Community Health Center Of Greater Richmond 517 W Grace St Richmond VA 23220-4911 Ph: (804) 783-2505 | The Southside Community Health Center Of Greater Richmond 180 E Belt Blvd Richmond VA 23224-1204 Ph: (804) 292-3011 |
| NPI Number | 1750792107 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 9931010857 |
|---|---|
| Medicare Enrollment ID | O20140917003102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750792107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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