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IMPACT MEDICAL STAFFING INC NPI 1154712156


NPI Information

NPI: 1154712156
Provider Name: IMPACT MEDICAL STAFFING, INC
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
193 HARP DR
RIPON, CA
ZIP 95366
Phone: (209) 603-0716
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IMPACT MEDICAL STAFFING, INC is a residential treatment facility physical disabilities in Ripon, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. IMPACT MEDICAL STAFFING, INC NPI is 1154712156. The provider is registered as an organization entity type.

The provider's business location address is:

193 HARP DR
RIPON, CA
ZIP 95366-334
Phone: (209) 603-0716
Fax: (209) 599-7478

The provider's authorized official is Melanie Aquino Dunniway .
The authorized official title is President and has the following contact phone number (209) 603-0716.

The enumeration date for this NPI number is 2/12/2015 and was last updated on 2/12/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical Disabilities9409CALIFORNIAYes

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

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