Woodland Clinic, A Service Of Chw Medical Foundation

LBN: Chw Medical Foundation
Woodland Clinic, A Service Of Chw Medical Foundation is an health care organization with primary practice located at 1207 Fairchild Ct , Woodland CA 95695-4321. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Chw Medical Foundation can be contacted via phone (530) 669-5310, or through Hylen, Theresa M via phone (916) 851-2559.

Contact Information

Primary practice address
1207 Fairchild Ct Woodland CA 95695-4321
Fax: (530) 661-0685
Website:
Authorized official contact:
Name: Hylen, Theresa M

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1154348860
LBN Legal business name Chw Medical Foundation
DBA Doing business as Woodland Clinic, A Service Of Chw Medical Foundation
Authorized official Hylen, Theresa M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 17th, 2006
Last updated Nov 18th, 2020 - about 4 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 1154348860 NPPES
California MEDICAID GR0013030
California Other ZZZ52380Z
California Other 680260555
California MEDICAID GR0091675

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