Department Of Health Services

LBN: Department Of Health Services
Department Of Health Services is an health care organization with primary practice located at 155 N. Pythian Road , Santa Rosa CA 95409. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Department Of Health Services can be contacted via phone (707) 565-6350, or through Stornetta, Diana via phone (707) 565-4782.

Contact Information

Primary practice address
155 N. Pythian Road Santa Rosa CA 95409
Phone: (707) 565-6350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stornetta, Diana
Phone: (707) 565-4782

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1114071453
LBN Legal business name Department Of Health Services
DBA Doing business as
Authorized official Stornetta, Diana
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Dec 18th, 2007 - about 17 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 1114071453 NPPES
California Other ZZR11473F CALIFORNIA MEDI-CAL

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