Telecare - Villa Fairmont

LBN: Stanislaus County
Telecare - Villa Fairmont is an health care organization with primary practice located at 15200 Foothill Blvd , San Leandro CA 94578-1013. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Stanislaus County can be contacted via phone (209) 525-7423, or through Hunt, Denise C via phone (209) 525-6225.

Contact Information

Primary practice address
15200 Foothill Blvd San Leandro CA 94578-1013
Phone: (209) 525-7423
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hunt, Denise C RN, MFT
Phone: (209) 525-6225

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1104958198
LBN Legal business name Stanislaus County
DBA Doing business as Telecare - Villa Fairmont
Authorized official Hunt, Denise C RN, MFT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Aug 22nd, 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 1104958198 NPPES
California MEDICAID 5089

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