Clinica Sierra Vista in Wofford Heights - Federally Qualified Health Center (fqhc)

Clinica Sierra Vista - NPI 1437151800

Clinica Sierra Vista is a Federally Qualified Health Center (fqhc) in Wofford Heights, California. Clinica Sierra Vista practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Clinica Sierra Vista is 1437151800. The last update date is 2022-04-07.

Clinica Sierra Vista's current location address is 67 Evans Rd, Wofford Heights, California. You can contact this provider via phone number 7603762276 and fax number 7603764801. The mailing address for Clinica Sierra Vista is 67 Evans Rd, Wofford Heights, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clinica Sierra Vista
Address 67 Evans Rd, Wofford Heights, California
Phone Number 7603762276
Fax Number 7603764801
Sole Proprietor --
Credentials --

Authorized Official

Title or Position INTERIM CH
Authorized Official Name Meave Olga
Credentials MD
Telephone Number 6616353050

NPI Number Detail

NPI Number 1437151800
Provider Enumeration Date 2005-08-15
Last Updated Date 2022-04-07

Provider Mailing Address Detail

Address 67 Evans Rd
City Wofford Heights
State California (CA)
Post Code 932859640
Phone Number 7603762276
Fax Number 7603764801

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No 120000201
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
03896F CA --
HAP03896F CA SOFP
BCP03896F CA CDP

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FAQs about Clinica Sierra Vista

What is the unique identification code assigned to Clinica Sierra Vista by the Centers for Medicare & Medicaid Services?

The Clinica Sierra Vista has been issued the NPI (National Provider Identifier) 1437151800. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Clinica Sierra Vista is physically located?

The Clinica Sierra Vista is situated at the following address: 67 Evans Rd, Wofford Heights, CA 932859640.

What is Clinica Sierra Vista's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Clinica Sierra Vista is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.

On what date did the Clinica Sierra Vista receive its 1437151800 assignment from the Centers for Medicare & Medicaid Services?

The Clinica Sierra Vista was assigned its 1437151800 by the Centers for Medicare & Medicaid Services on 2005-08-15.

As of what date were the details pertaining to Clinica Sierra Vista last refreshed?

The information related to the Clinica Sierra Vista, including its address, specialty, and other relevant details, was last updated on 2022-04-07.

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