JEWISH COMMUNITY FREE CLINIC NPI 1073843819

NPI Information

NPI: 1073843819
Provider Name: JEWISH COMMUNITY FREE CLINIC
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
50 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95404
Phone: (707) 585-7780
Get Directions

JEWISH COMMUNITY FREE CLINIC is a public health or welfare in Santa Rosa, CA. JEWISH COMMUNITY FREE CLINIC NPI is 1073843819. The provider is registered as an organization entity type.

The provider's business location address is:

50 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95404-615
Phone: (707) 585-7780

The provider's authorized official is Donna L Waldman .
The authorized official title is Executive Director and has the following contact phone number (707) 888-0850.

The enumeration date for this NPI number is 12/29/2009 and was last updated on 9/10/2021.

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
1	251K00000X	Public Health or Welfare		550001029	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »