St. Vincent De Paul Village Family Health Center
LBN: St. Vincent De Paul Village, Inc
St. Vincent De Paul Village Family Health Center is an health care organization with primary practice located at 1501 Imperial Ave , San Diego CA 92101-7638. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
St. Vincent De Paul Village, Inc can be contacted via phone (619) 233-8500, or through Mallie, Melinda via phone (619) 446-2194.
Contact Information
Primary practice address
1501 Imperial Ave
San Diego CA 92101-7638
Phone: (619) 233-8500
Fax: (619) 645-6470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | 09000297 | California |
Profile Details
| NPI number | 1659415131 |
|---|---|
| LBN Legal business name | St. Vincent De Paul Village, Inc |
| DBA Doing business as | St. Vincent De Paul Village Family Health Center |
| Authorized official | Mallie, Melinda |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Feb 22nd, 2023 - about last year |
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 | 1659415131 | NPPES |
| California | MEDICAID | CMM70389F |
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