NPIMap

Organization Active NPI

Loudoun Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Herndon, VA
National Provider Identifier
1396489753
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LOUDOUN COMMUNITY HEALTH CENTER
Practice address
16300 Wall Road
Suite 055
Herndon, VA 20171
Phone
(703) 443-2000
NPI assigned
Apr 22, 2022
Organization subpart
Yes
Parent organization
LOUDOUN COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amandeep K Dhindsa
Title
Cfo
Phone
(703) 475-7595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

16300 Wall Road
Suite 055
Herndon, VA 20171

Mailing address

163 Fort Evans Rd NE
Leesburg, VA 20176-4420
Phone (703) 475-7595

Other names 1

  • Health Works for Northern Virginia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221212001281 DC Part B Supplier - Clinic/Group Practice 5193822930 Receives reassigned benefits from 3 practitioners
Practice locations: Herndon, VA
O20250506003076 VA Part A Provider - Federally Qualified Health Center (FQHC) 5193822930 Practice locations: Herndon, VA

Federally qualified health center certification: CCN 491038

Legal name
LOUDOUN COMMUNITY HEALTH CENTER
Doing business as
HEALTH WORKS FOR NORTHERN VIRGINIA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 20, 2025
Last certification
Mar 20, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 21, 2007 in VA
Enrollment address
13800 Wall Rd
Ste 55
Herndon, VA 20171-3703

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Loudoun Community Health Center

Locations

13800 Wall Rd
Ste 55
Herndon, VA 20171

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amandeep Dhindsa Individual W-2 Managing EmployeeAd;Cfo May 20, 2020

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1396489753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 FORT EVANS RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764420",
            "telephone_number": "703-475-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 WALL ROAD",
            "address_2": "SUITE 055",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20171",
            "telephone_number": "703-443-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUDOUN COMMUNITY HEALTH CENTER",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "DHINDSA",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "703-475-7595"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Works for Northern Virginia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Works for Northern Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.