CENTRAL NEIGHBORHOOD HEALTH FOUNDATION NPI 1619330438

NPI Information

NPI: 1619330438
Provider Name: CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D0541118

Address:
17695 ARROW BLVD
FONTANA, CA
ZIP 92335
Phone: (310) 962-8970
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CENTRAL NEIGHBORHOOD HEALTH FOUNDATION is a federally qualified health center (fqhc) clinic center in Fontana, CA. CENTRAL NEIGHBORHOOD HEALTH FOUNDATION NPI is 1619330438. The provider is registered as an organization entity type.

The provider's business location address is:

17695 ARROW BLVD
FONTANA, CA
ZIP 92335
Phone: (310) 962-8970
Fax: (323) 231-3985

The provider's authorized official is Nusrath Fatima Jahangir .
The authorized official title is Coo and has the following contact phone number (310) 962-8970.

The CLIA number assigned to this NPI record is 05D0541118 - other - fqhc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/30/2016.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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: 5/5/2024

NPI Synchronization or Removal

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