1679751515 NPI number — GENESIS FAMILY CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679751515 NPI number — GENESIS FAMILY CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GENESIS FAMILY CENTER
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:
GENESIS FAMILY CENTER MHSA - TAY
Provider Other Organization Name Type Code:
5
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:
1679751515
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/01/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7475 N PALM AVE
Provider Second Line Business Mailing Address:
SUITE 107
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93711-5763
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-439-5437
Provider Business Mailing Address Fax Number:
559-439-5411

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
83 E SHAW AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93710-7620
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-439-5437
Provider Business Practice Location Address Fax Number:
559-439-5411
Provider Enumeration Date:
02/01/2008

Additional Information

Authorized Official

Authorized Official Last Name:
DELA TORRE
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
Authorized Official Title or Position:
DEPUTY ADMINISTRATOR
Authorized Official Telephone Number:
559-439-5437

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com