La Clinica De La Raza Inc in Vallejo - Federally Qualified Health Center (fqhc)
La Clinica De La Raza Inc - NPI 1780606632
La Clinica De La Raza Inc is a Federally Qualified Health Center (fqhc) in Vallejo, California. La Clinica De La Raza Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for La Clinica De La Raza Inc is 1780606632. The last update date is 2020-08-22.
La Clinica De La Raza Inc's current location address is 2920a Sonoma Blvd, Vallejo, California. You can contact this provider via phone number 7075582000 and fax number 7076443507. The mailing address for La Clinica De La Raza Inc is 2920a Sonoma Blvd, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Clinica De La Raza Inc |
|---|---|
| Address | 2920a Sonoma Blvd, Vallejo, California |
| Phone Number | 7075582000 |
| Fax Number | 7076443507 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Garcia Jane |
| Telephone Number | 5105354000 |
NPI Number Detail
| NPI Number | 1780606632 |
|---|---|
| Provider Enumeration Date | 2006-07-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2920a Sonoma Blvd |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945903879 |
| Phone Number | 7075582000 |
| Fax Number | 7076443507 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
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 |
|---|---|---|---|
| FHC70833F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to La Clinica De La Raza Inc by the Centers for Medicare & Medicaid Services?
The La Clinica De La Raza Inc has been assigned the NPI (National Provider Identifier) 1780606632 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where La Clinica De La Raza Inc is geographically located?
The La Clinica De La Raza Inc is physically situated at the following location: 2920A Sonoma Blvd, Vallejo, CA, 945903879.
What is La Clinica De La Raza Inc's area of expertise and its corresponding taxonomy classification?
The La Clinica De La Raza Inc's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did La Clinica De La Raza Inc receive its 1780606632 assignment from the Centers for Medicare & Medicaid Services?
The La Clinica De La Raza Inc was assigned its 1780606632 on 2006-07-23, 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 details pertaining to La Clinica De La Raza Inc last refreshed?
The information related to the La Clinica De La Raza Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1932102142
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