1891847364 NPI number — CF QUINCY, LLC

Table of content: (NPI 1891847364)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891847364 NPI number — CF QUINCY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CF QUINCY, LLC
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:
1891847364
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
07/17/2007
NPI Reactivation Date:
04/18/2008

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 EAST CENTRAL AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
QUINCY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95971
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-283-2110
Provider Business Mailing Address Fax Number:
530-283-2274

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 EAST CENTRAL AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
QUINCY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95971
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-283-2110
Provider Business Practice Location Address Fax Number:
530-283-2274
Provider Enumeration Date:
01/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WINTNER
Authorized Official First Name:
JACOB
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
323-651-1808

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  230000050 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: ZZR06265J , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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