Lancaster Adult Day Health Care

LBN: Antelope Valley Community Clinic
Lancaster Adult Day Health Care is an health care organization with primary practice located at 45104 10Th St W , Lancaster CA 93534-2310. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Antelope Valley Community Clinic can be contacted via phone (661) 942-2391, or through Roa, Teresa via phone (661) 942-2391.

Contact Information

Primary practice address
45104 10Th St W Lancaster CA 93534-2310
Phone: (661) 942-2391
Fax: (661) 902-6839
Website:
Map and Directions
Authorized official contact:
Name: Roa, Teresa
Phone: (661) 942-2391

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 550001452 California

Profile Details

NPI number 1245690387
LBN Legal business name Antelope Valley Community Clinic
DBA Doing business as Lancaster Adult Day Health Care
Authorized official Roa, Teresa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2016
Last updated Mar 2nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245690387 NPPES
California MEDICAID 1730499872

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