Harbor Community Clinic Inc. in San Pedro - Federally Qualified Health Center (fqhc)
Harbor Community Clinic Inc. - NPI 1467490425
Harbor Community Clinic Inc. is a Federally Qualified Health Center (fqhc) in San Pedro, California. Harbor Community Clinic Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Harbor Community Clinic Inc. is 1467490425. The last update date is 2022-02-08.
Harbor Community Clinic Inc.'s current location address is 593 W 6th St, San Pedro, California. You can contact this provider via phone number 3105470202 and fax number 3105475096. The mailing address for Harbor Community Clinic Inc. is 593 W 6th St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Harbor Community Clinic Inc. |
---|---|
Address | 593 W 6th St, San Pedro, California |
Phone Number | 3105470202 |
Fax Number | 3105475096 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
---|---|
Authorized Official Name | King Tamra |
Telephone Number | 3105478241 |
NPI Number Detail
NPI Number | 1467490425 |
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Provider Enumeration Date | 2006-06-03 |
Last Updated Date | 2022-02-08 |
Provider Mailing Address Detail
Address | 593 W 6th St |
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City | San Pedro |
State | California (CA) |
Post Code | 907312521 |
Phone Number | 3105470202 |
Fax Number | 3105475096 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
---|---|
Taxonomy | 261Qf0400X |
Licence No | 960000085 |
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique identifier code issued to Harbor Community Clinic Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Harbor Community Clinic Inc. has been assigned the NPI (National Provider Identifier) 1467490425. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Harbor Community Clinic Inc. located?
The Harbor Community Clinic Inc. is located at 593 W 6Th St, San Pedro, CA 907312521.
What is Harbor Community Clinic Inc.'s area of expertise and its corresponding taxonomy classification?
The Harbor Community Clinic 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.
When did the Harbor Community Clinic Inc. receive its 1467490425?
The Harbor Community Clinic Inc. was issued its 1467490425 on 2006-06-03, which is the date when the organization was assigned this unique identifier.
As of what date were the Harbor Community Clinic Inc.'s details last updated?
The information pertaining to the Harbor Community Clinic Inc., including its address, specialty, and other details, was most recently updated on 2022-02-08.
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