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QUEEN OF THE VALLEY MEDICAL ASSOCIATION NPI 1649260126


NPI Information

NPI: 1649260126
Provider Name: QUEEN OF THE VALLEY MEDICAL ASSOCIATION

Doing Business As: ST JOSEPH HERITAGE HEALTH SYSTEM

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 05D0599859

Address:
1100 TRANCAS ST
SUITE 209
NAPA, CA
ZIP 94558
Phone: (707) 252-4411
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QUEEN OF THE VALLEY MEDICAL ASSOCIATION is a gynecology obstetrics gynecology in Napa, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee QUEEN OF THE VALLEY MEDICAL ASSOCIATION NPI is 1649260126. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Joseph Heritage Health System.

The provider's business location address is:

1100 TRANCAS ST
SUITE 209
NAPA, CA
ZIP 94558-908
Phone: (707) 252-4411
Fax: (707) 251-1860

The provider's authorized official is Roger Bruce Scarborough .
The authorized official title is Medical Director and has the following contact phone number (707) 252-4411.

The CLIA number assigned to this NPI record is 05D0599859 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 4/7/2011.


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
1207VG0400XObstetrics & GynecologyGynecologyA35569CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BH969MEDICARE PINCALIFORNIA

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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