SAN JOAQUIN COUNTY HEALTH CLINIC NPI 1700929114

NPI Information

NPI: 1700929114
Provider Name: SAN JOAQUIN COUNTY HEALTH CLINIC
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
1601 E HAZELTON AVE
STOCKTON, CA
ZIP 95205
Phone: (209) 468-3413
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SAN JOAQUIN COUNTY HEALTH CLINIC is a public health or welfare in Stockton, CA. SAN JOAQUIN COUNTY HEALTH CLINIC NPI is 1700929114. The provider is registered as an organization entity type.

The provider's business location address is:

1601 E HAZELTON AVE
STOCKTON, CA
ZIP 95205-229
Phone: (209) 468-3413
Fax: (209) 468-2072

The provider's authorized official is William Mitchell .
The authorized official title is Director Public Health Services and has the following contact phone number (209) 468-3413.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 5/30/2008.

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				Yes

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
1	FLU11132F	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE FLU PROVIDER NUM

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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