Independence Community Treatment Clinic in Reseda - Community Health
Independence Community Treatment Clinic - NPI 1376677823
Independence Community Treatment Clinic is a Community Health in Reseda, California. Independence Community Treatment Clinic practices all healthcare services and medical treatments related to Community Health. The NPI Number for Independence Community Treatment Clinic is 1376677823. The last update date is 2010-01-06.
Independence Community Treatment Clinic's current location address is 19231 Victory Blvd, Reseda, California. You can contact this provider via phone number 8187761755 and fax number 8187761657. The mailing address for Independence Community Treatment Clinic is 19231 Victory Blvd, Reseda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Independence Community Treatment Clinic |
|---|---|
| Address | 19231 Victory Blvd, Reseda, California |
| Phone Number | 8187761755 |
| Fax Number | 8187761657 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASST. PROG |
|---|---|
| Authorized Official Name | Greenough Rebecca |
| Credentials | CATC |
| Telephone Number | 8187761755 |
NPI Number Detail
| NPI Number | 1376677823 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2010-01-06 |
Provider Mailing Address Detail
| Address | 19231 Victory Blvd |
|---|---|
| City | Reseda |
| State | California (CA) |
| Post Code | 913356308 |
| Phone Number | 8187761755 |
| Fax Number | 8187761657 |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
| Licence No | 960001358 |
|
Definition: Provides primary medical, dental, mental health, social and preventive services tailored to its community. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CMM70956F | CA | -- | |
| 196856000 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Independence Community Treatment Clinic by the Centers for Medicare & Medicaid Services?
The Independence Community Treatment Clinic has been issued the NPI (National Provider Identifier) 1376677823 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Independence Community Treatment Clinic's facilities are geographically located?
The facilities of Independence Community Treatment Clinic are physically situated at the following location: 19231 Victory Blvd, Reseda, CA, 913356308.
What is Independence Community Treatment Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Independence Community Treatment Clinic's area of specialization is Community Health, and the corresponding taxonomy code that categorizes this field of practice is 261Qc1500X.
On what date did the Independence Community Treatment Clinic receive its 1376677823 assignment from the Centers for Medicare & Medicaid Services?
The Independence Community Treatment Clinic was assigned its 1376677823 by the Centers for Medicare & Medicaid Services on 2007-03-15.
When was the information regarding Independence Community Treatment Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Independence Community Treatment Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-06.