| NPI | 1396078135 |
|---|---|
| Doing Business As | CAPITAL AREA HEALTH NETWORK - GLENWOOD MEDICAL & DENTAL CENTER |
| Doing Business As | GLENWOOD MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TRACY CAUSEY Chief Executive Officer 804-253-1968 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QD0000X Clinic/Center, Dental | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2022-11-17 |