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ALTAMED HEALTH SERVICES CORP NPI 1982990859


NPI Information

NPI: 1982990859
Provider Name: ALTAMED HEALTH SERVICES CORP

Doing Business As: ALTAMED PACE-LYNWOOD

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization

CLIA Number: 05D1010064

Address:
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA
ZIP 90262
Phone: (310) 632-0415
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ALTAMED HEALTH SERVICES CORP is a program of all inclusive care for the elderly pace provider organization in Lynwood, CA. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. ALTAMED HEALTH SERVICES CORP NPI is 1982990859. The provider is registered as an organization entity type.
The provider Is Doing Business As Altamed Pace-lynwood.

The provider's business location address is:

3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA
ZIP 90262-625
Phone: (310) 632-0415
Fax: (310) 639-2734

The provider's authorized official is Robert U. Young .
The authorized official title is Vp, Patient Financial Services and has the following contact phone number (323) 622-2429.

The CLIA number assigned to this NPI record is 05D1010064 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2011 and was last updated on 8/29/2019.


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
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationYes

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

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