1548398217 NPI number — COUNTY OF MONTEREY

Table of content: (NPI 1548398217)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548398217 NPI number — COUNTY OF MONTEREY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF MONTEREY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LAUREL WOMEN'S HEALTH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548398217
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1615 BUNKER HILL WAY
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
SALINAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93906-6010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-769-8800
Provider Business Mailing Address Fax Number:
831-422-9312

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1441 CONSTITUTION BLVD
Provider Second Line Business Practice Location Address:
BLDG. 200, SUITE 105
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93906-3100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-769-8660
Provider Business Practice Location Address Fax Number:
831-769-8655
Provider Enumeration Date:
03/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
EDGCOMB
Authorized Official First Name:
JULIA
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
COO/DIRECTOR CLINIC SERVICES DIV.
Authorized Official Telephone Number:
831-769-6522

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HAP70125F . This is a "COUNTY OF MONTEREY FAMPAC" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: FHC70125F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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