Quantom-Leap, Inc. in Dos Palos - Community/behavioral Health
Quantom-Leap, Inc. - NPI 1215007695
Quantom-Leap, Inc. is a Community/behavioral Health in Dos Palos, California. Quantom-Leap, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Quantom-Leap, Inc. is 1215007695. The last update date is 2020-08-22.
Quantom-Leap, Inc.'s current location address is 22368 South 6th Street, Dos Palos, California. You can contact this provider via phone number 5592441789. The mailing address for Quantom-Leap, Inc. is 22368 South 6th Street, Dos Palos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Quantom-Leap, Inc. |
|---|---|
| Address | 22368 South 6th Street, Dos Palos, California |
| Phone Number | 5592441789 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Maroney Carmen |
| Telephone Number | 5592441789 |
NPI Number Detail
| NPI Number | 1215007695 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 22368 South 6th Street |
|---|---|
| City | Dos Palos |
| State | California (CA) |
| Post Code | 93665 |
| Phone Number | 5592441789 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
|
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24004AP | CA | MEDI-CAL PROVIDER NUMBER |
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What is the unique 10-digit identification code issued to Quantom-Leap, Inc. by the Centers for Medicare & Medicaid Services?
The Quantom-Leap, Inc. has been assigned the NPI (National Provider Identifier) 1215007695 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Quantom-Leap, Inc. is physically located?
The Quantom-Leap, Inc. is physically situated at the following address: 22368 South 6Th Street, Dos Palos, CA, 93665.
What is the Quantom-Leap, Inc.'s area of specialization and corresponding taxonomy classification?
The Quantom-Leap, Inc.'s specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did Quantom-Leap, Inc. receive its 1215007695 assignment from the Centers for Medicare & Medicaid Services?
The Quantom-Leap, Inc. was assigned its 1215007695 on 2006-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Quantom-Leap, Inc.'s details last updated?
The information pertaining to the Quantom-Leap, Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.