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YOLO WAYFARER CENTER (CHRISTIAN MISSION) NPI 1922466226


NPI Information

NPI: 1922466226
Provider Name: YOLO WAYFARER CENTER (CHRISTIAN MISSION)

Doing Business As: FOURTH AND HOPE

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
207 4TH ST
WOODLAND, CA
ZIP 95695
Phone: (530) 661-1218
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YOLO WAYFARER CENTER (CHRISTIAN MISSION) is a point of service in Woodland, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. YOLO WAYFARER CENTER (CHRISTIAN MISSION) NPI is 1922466226. The provider is registered as an organization entity type.
The provider Is Doing Business As Fourth And Hope.

The provider's business location address is:

207 4TH ST
WOODLAND, CA
ZIP 95695-501
Phone: (530) 661-1218
Fax: (530) 661-2494

The provider's authorized official is Doug Zeck .
The authorized official title is Executive Director and has the following contact phone number (530) 661-1218.

The enumeration date for this NPI number is 2/2/2016 and was last updated on 1/9/2020.


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
1305S00000XPoint of Service570008BNCALIFORNIAYes

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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