Petaluma Health Center
LBN: Petaluma Health Center Inc
Petaluma Health Center is an health care organization with primary practice located at 1179 N Mcdowell Blvd , Petaluma CA 94954-6559. 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.
Petaluma Health Center Inc can be contacted via phone (707) 559-7500, or through Powell, Kathryn via phone (707) 559-7500.
Contact Information
Primary practice address
1179 N Mcdowell Blvd
Petaluma CA 94954-6559
Phone: (707) 559-7500
Fax: (707) 559-7620
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
NPI number | 1588656268 |
---|---|
LBN Legal business name | Petaluma Health Center Inc |
DBA Doing business as | Petaluma Health Center |
Authorized official | Powell, Kathryn |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 18th, 2005 |
Last updated | Mar 24th, 2022 - about 3 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 | 1588656268 | NPPES |
California | MEDICAID | BCP70696F | |
California | MEDICAID | EAP70696F | |
California | MEDICAID | FHC70696F | |
California | Other | 551879 | |
California | MEDICAID | HAP70696F |
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