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CHW MEDICAL FOUNDATION NPI 1073647020


NPI Information

NPI: 1073647020
Provider Name: CHW MEDICAL FOUNDATION

Doing Business As: GERIATRIC NETWORK, A SERVICE OF CHW MEDICAL FOUNDATION

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1792 TRIBUTE RD
SUITE 350
SACRAMENTO, CA
ZIP 95815
Phone: (916) 648-2800
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CHW MEDICAL FOUNDATION is an adult mental health clinic center in Sacramento, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CHW MEDICAL FOUNDATION NPI is 1073647020. The provider is registered as an organization entity type.
The provider Is Doing Business As Geriatric Network, A Service Of Chw Medical Foundation.

The provider's business location address is:

1792 TRIBUTE RD
SUITE 350
SACRAMENTO, CA
ZIP 95815-305
Phone: (916) 648-2800
Fax: (916) 927-7901

The provider's authorized official is Theresa M Hylen .
The authorized official title is Chief Financial Officer and has the following contact phone number (916) 851-2559.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 11/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18430OTHERCALIFORNIACOUNTY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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