Department Of Health Services in Santa Rosa - Clinic/center

Department Of Health Services - NPI 1114071453

Department Of Health Services is a Clinic/center in Santa Rosa, California. Department Of Health Services practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Department Of Health Services is 1114071453. The last update date is 2007-12-18.

Department Of Health Services's current location address is 155 N. Pythian Road, Santa Rosa, California. You can contact this provider via phone number 7075656350. The mailing address for Department Of Health Services is 155 N. Pythian Road, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Department Of Health Services
Address 155 N. Pythian Road, Santa Rosa, California
Phone Number 7075656350
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ACCOUNTANT
Authorized Official Name Stornetta Diana
Telephone Number 7075654782

NPI Number Detail

NPI Number 1114071453
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-12-18

Provider Mailing Address Detail

Address 155 N. Pythian Road
City Santa Rosa
State California (CA)
Post Code 95409
Phone Number 7075656350
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZR11473F CA CALIFORNIA MEDI-CAL

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FAQs about Department Of Health Services

What is the unique 10-digit identifier code issued to Department Of Health Services by the Centers for Medicare & Medicaid Services?

The Department Of Health Services has been assigned the NPI (National Provider Identifier) 1114071453 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 location address where Department Of Health Services's facilities are situated?

The facilities of Department Of Health Services are physically located at the following address: 155 N. Pythian Road, Santa Rosa, CA, 95409.

What is Department Of Health Services's area of expertise and its corresponding taxonomy classification?

The Department Of Health Services's field of specialization is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1114071453 to Department Of Health Services?

The Centers for Medicare & Medicaid Services assigned the 1114071453 to Department Of Health Services on 2007-01-23.

When was the information related to Department Of Health Services most recently updated or refreshed?

The details pertaining to the Department Of Health Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-18.

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