1346462405 NPI number — VENTURA COUNTY HEALTH CARE AGENCY

Table of content: (NPI 1346462405)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346462405 NPI number — VENTURA COUNTY HEALTH CARE AGENCY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VENTURA COUNTY HEALTH CARE AGENCY
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:
1346462405
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
133 W. SANTA CLARA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VENTUA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-641-5745
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4333 VINEYARD AVE.
Provider Second Line Business Practice Location Address:
YOUTH & FAMILY
Provider Business Practice Location Address City Name:
OXNARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-981-5581
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
POWERS
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
HEALTH CARE AGENCY DIRECTOR
Authorized Official Telephone Number:
805-677-5110

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)

  • Identifier: 0000056B4 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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