1285141549 NPI number — AMADOR HEALTH CENTER, INC.

Table of content: (NPI 1285141549)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285141549 NPI number — AMADOR HEALTH CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMADOR HEALTH CENTER, INC.
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:
1285141549
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2243
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS CRUCES
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
88004-2243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
575-527-5482
Provider Business Mailing Address Fax Number:
575-652-4243

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
999 W AMADOR AVE STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS CRUCES
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88005-2739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-527-5482
Provider Business Practice Location Address Fax Number:
575-652-4243
Provider Enumeration Date:
01/08/2018

Additional Information

Authorized Official

Authorized Official Last Name:
ANGELL
Authorized Official First Name:
PAMELA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
575-527-5482

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X , with the licence number:  6350 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 76632873 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




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