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THE WEST OAKLAND HEALTH COUNCIL NPI 1043331630


NPI Information

NPI: 1043331630
Provider Name: THE WEST OAKLAND HEALTH COUNCIL

Doing Business As: WOHC METHADONE CLINIC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
700 ADELINE ST
OAKLAND, CA
ZIP 94607
Phone: (510) 835-9610
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THE WEST OAKLAND HEALTH COUNCIL is a psychiatric/mental health nurse practitioner in Oakland, CA. THE WEST OAKLAND HEALTH COUNCIL NPI is 1043331630. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wohc Methadone Clinic.

The provider's business location address is:

700 ADELINE ST
OAKLAND, CA
ZIP 94607-608
Phone: (510) 835-9610
Fax: (510) 272-0209

The provider's authorized official is Preston Dufauchard .
The authorized official title is Ceo and has the following contact phone number (510) 835-9610.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 1/14/2022.


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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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
1010171000MEDICAIDCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.