1275172975 NPI number — COMMUNITY HEALTH CENTERS OF AMERICA

Table of content: (NPI 1275172975)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275172975 NPI number — COMMUNITY HEALTH CENTERS OF AMERICA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMMUNITY HEALTH CENTERS OF AMERICA
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:
Provider Other Organization Name Type Code:
6
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:
1275172975
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
517 MAIN ST STE B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LIVINGSTON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95334-1427
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-298-1715
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
517 MAIN ST STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIVINGSTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95334-1427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-340-7929
Provider Business Practice Location Address Fax Number:
209-348-6525
Provider Enumeration Date:
12/27/2019

Additional Information

Authorized Official

Authorized Official Last Name:
ANNE
Authorized Official First Name:
PRATAP
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PHARMACY DIRECTOR
Authorized Official Telephone Number:
209-298-1715

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 57564 . This is a "PHARMACY LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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