Family Health Centers Of San Diego, Inc in San Diego - Federally Qualified Health Center (fqhc)

Family Health Centers Of San Diego, Inc - NPI 1023054004

Family Health Centers Of San Diego, Inc is a Federally Qualified Health Center (fqhc) in San Diego, California. Family Health Centers Of San Diego, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Family Health Centers Of San Diego, Inc is 1023054004. The last update date is 2012-05-25.

Family Health Centers Of San Diego, Inc's current location address is 5454 El Cajon Blvd, San Diego, California. You can contact this provider via phone number 6195152400 and fax number 6197952756. The mailing address for Family Health Centers Of San Diego, Inc is 5454 El Cajon Blvd, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Family Health Centers Of San Diego, Inc
Address 5454 El Cajon Blvd, San Diego, California
Phone Number 6195152400
Fax Number 6197952756
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Roman Ricardo
Telephone Number 6195152300

NPI Number Detail

NPI Number 1023054004
Provider Enumeration Date 2006-06-20
Last Updated Date 2012-05-25

Provider Mailing Address Detail

Address 5454 El Cajon Blvd
City San Diego
State California (CA)
Post Code 921153621
Phone Number 6195152400
Fax Number 6197952756

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No 90000677
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
FHC71055F CA --
W5352F CA MEDICARE - NHIC

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FAQs about Family Health Centers Of San Diego, Inc

What is the unique identifier code issued to Family Health Centers Of San Diego, Inc by the Centers for Medicare & Medicaid Services?

The Family Health Centers Of San Diego, Inc has been assigned the NPI (National Provider Identifier) 1023054004. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Family Health Centers Of San Diego, Inc is physically located?

The Family Health Centers Of San Diego, Inc is situated at the following address: 5454 El Cajon Blvd, San Diego, CA 921153621.

What is Family Health Centers Of San Diego, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Family Health Centers Of San Diego, Inc's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1023054004 to Family Health Centers Of San Diego, Inc?

The Centers for Medicare & Medicaid Services assigned the 1023054004 to Family Health Centers Of San Diego, Inc on 2006-06-20.

When was the information pertaining to Family Health Centers Of San Diego, Inc most recently updated or revised?

The details related to Family Health Centers Of San Diego, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2012-05-25.

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