La Clinica De La Raza Inc in Vallejo - Federally Qualified Health Center (fqhc)
La Clinica De La Raza Inc - NPI 1992811392
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 1992811392. The last update date is 2019-10-17.
La Clinica De La Raza Inc's current location address is 243 Georgia St, Vallejo, California. You can contact this provider via phone number 7075568100 and fax number 7075568107. The mailing address for La Clinica De La Raza Inc is 243 Georgia St, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Clinica De La Raza Inc |
|---|---|
| Address | 243 Georgia St, Vallejo, California |
| Phone Number | 7075568100 |
| Fax Number | 7075568107 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Garcia Jane |
| Telephone Number | 5103544000 |
NPI Number Detail
| NPI Number | 1992811392 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2019-10-17 |
Provider Mailing Address Detail
| Address | 243 Georgia St |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945905905 |
| Phone Number | 7075568100 |
| Fax Number | 7075568107 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 110000270 |
|
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 |
|---|---|---|---|
| FHC70543G | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to La Clinica De La Raza Inc by the Centers for Medicare & Medicaid Services?
The La Clinica De La Raza Inc has been issued the NPI (National Provider Identifier) 1992811392, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where La Clinica De La Raza Inc is physically located?
The La Clinica De La Raza Inc is situated at the following address: 243 Georgia St, Vallejo, CA 945905905.
What is La Clinica De La Raza Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The La Clinica De La Raza Inc's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
When did La Clinica De La Raza Inc receive its 1992811392 assignment?
The La Clinica De La Raza Inc was assigned its 1992811392 on 2006-08-21, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding La Clinica De La Raza Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to La Clinica De La Raza Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-10-17.