NPI | 1366920530 |
---|---|
Doing Business As | CAPITAL AREA HEALTH NETWORK - HENDERSON HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | TRACY CAUSEY CEO 804-253-1968 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2022-11-17 |