Buckelew Tamayo Village

LBN: Buckelew Programs
Buckelew Tamayo Village is an health care organization with primary practice located at 1700 Yulupa Ave , Santa Rosa CA 95405-7721. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Buckelew Programs can be contacted via phone (707) 780-7239, or through Kughn, John Christopher via phone (415) 457-6966.

Contact Information

Primary practice address
1700 Yulupa Ave Santa Rosa CA 95405-7721
Phone: (707) 780-7239
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kughn, John Christopher LMFT
Phone: (415) 457-6966

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1154179042
LBN Legal business name Buckelew Programs
DBA Doing business as Buckelew Tamayo Village
Authorized official Kughn, John Christopher LMFT
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2024
Last updated May 21st, 2024 - about 6 months 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.

Request for update

Popular Providers