Antelope Valley Community Clinic-Palmdale
LBN: Antelope Valley Community Clinic
Antelope Valley Community Clinic-Palmdale is an health care organization with primary practice located at 2151 E Palmdale Blvd , Palmdale CA 93550-4037. 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) 575-0009, or through Cook, James A. via phone (661) 942-2391.
Contact Information
Primary practice address
2151 E Palmdale Blvd
Palmdale CA 93550-4037
Phone: (661) 575-0009
Fax: (661) 575-0015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 550001129 | California |
Profile Details
| NPI number | 1346563673 |
|---|---|
| LBN Legal business name | Antelope Valley Community Clinic |
| DBA Doing business as | Antelope Valley Community Clinic-Palmdale |
| Authorized official | Cook, James A. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 1st, 2010 |
| Last updated | Jul 6th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346563673 | NPPES |
| California | Other | CT556A | MEDICARE PTAN |
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