Petaluma Health Center Inc in Petaluma - Federally Qualified Health Center (fqhc)
Petaluma Health Center Inc - NPI 1588656268
Petaluma Health Center Inc is a Federally Qualified Health Center (fqhc) in Petaluma, California. Petaluma Health Center Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Petaluma Health Center Inc is 1588656268. The last update date is 2022-03-24.
Petaluma Health Center Inc's current location address is 1179 N Mcdowell Blvd, Petaluma, California. You can contact this provider via phone number 7075597597 and fax number 7076581319. The mailing address for Petaluma Health Center Inc is 1179 N Mcdowell Blvd, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petaluma Health Center Inc |
|---|---|
| Address | 1179 N Mcdowell Blvd, Petaluma, California |
| Phone Number | 7075597597 |
| Fax Number | 7076581319 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Powell Kathryn |
| Telephone Number | 7075597500 |
NPI Number Detail
| NPI Number | 1588656268 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2022-03-24 |
Provider Mailing Address Detail
| Address | 1179 N Mcdowell Blvd |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949546559 |
| Phone Number | 7075597597 |
| Fax Number | 7076581319 |
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 |
|---|---|---|---|
| BCP70696F | CA | -- | |
| EAP70696F | CA | -- | |
| FHC70696F | CA | -- | |
| 551879 | CA | MEDICARE NGS | |
| HAP70696F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Petaluma Health Center Inc by the Centers for Medicare & Medicaid Services?
The Petaluma Health Center Inc has been issued the NPI (National Provider Identifier) 1588656268 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Petaluma Health Center Inc is geographically located?
The Petaluma Health Center Inc is physically situated at the following location: 1179 N Mcdowell Blvd, Petaluma, CA, 949546559.
What is the Petaluma Health Center Inc's area of specialization and corresponding taxonomy classification?
The Petaluma Health Center Inc's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did Petaluma Health Center Inc receive its 1588656268 assignment from the Centers for Medicare & Medicaid Services?
The Petaluma Health Center Inc was assigned its 1588656268 on 2005-08-18, 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 Petaluma Health Center Inc's details last updated?
The information pertaining to the Petaluma Health Center Inc, including its address, specialty, and other details, was most recently updated on 2022-03-24.