La Clinica De La Raza Inc in Vallejo - Federally Qualified Health Center (fqhc)
La Clinica De La Raza Inc - NPI 1992863096
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 1992863096. The last update date is 2019-10-17.
La Clinica De La Raza Inc's current location address is 210 Hospital Dr, Vallejo, California. You can contact this provider via phone number 7076457316 and fax number 7076450426. The mailing address for La Clinica De La Raza Inc is 210 Hospital Dr, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | La Clinica De La Raza Inc |
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Address | 210 Hospital Dr, Vallejo, California |
Phone Number | 7076457316 |
Fax Number | 7076450426 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF EXEC |
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Authorized Official Name | Garcia Jane |
Telephone Number | 5105352915 |
NPI Number Detail
NPI Number | 1992863096 |
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Provider Enumeration Date | 2006-12-04 |
Last Updated Date | 2019-10-17 |
Provider Mailing Address Detail
Address | 210 Hospital Dr |
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City | Vallejo |
State | California (CA) |
Post Code | 945892517 |
Phone Number | 7076457316 |
Fax Number | 7076450426 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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Taxonomy | 261Qf0400X |
Licence No | 550000257 |
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 |
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FHC71149F | CA | -- |
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What is the La Clinica De La Raza Inc's unique identification number?
The La Clinica De La Raza Inc has been assigned the NPI (National Provider Identifier) Number 1992863096 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the La Clinica De La Raza Inc located?
The La Clinica De La Raza Inc is located at 210 Hospital Dr, Vallejo, CA 945892517.
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 the La Clinica De La Raza Inc receive its 1992863096?
The La Clinica De La Raza Inc was issued its 1992863096 on 2006-12-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to La Clinica De La Raza Inc last refreshed?
The information related to the La Clinica De La Raza Inc, including its address, specialty, and other relevant details, was last updated on 2019-10-17.