CHW MEDICAL FOUNDATION NPI 1154348860

NPI Information

NPI: 1154348860
Provider Name: CHW MEDICAL FOUNDATION

Doing Business As: WOODLAND CLINIC, A SERVICE OF CHW MEDICAL FOUNDATION

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1207 FAIRCHILD CT
WOODLAND, CA
ZIP 95695
Phone: (530) 669-5310
Get Directions

CHW MEDICAL FOUNDATION is a multi-specialty clinic center in Woodland, CA. CHW MEDICAL FOUNDATION NPI is 1154348860. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodland Clinic, A Service Of Chw Medical Foundation.

The provider's business location address is:

1207 FAIRCHILD CT
WOODLAND, CA
ZIP 95695-321
Phone: (530) 669-5310
Fax: (530) 661-0685

The provider's authorized official is Theresa M Hylen .
The authorized official title is Chief Financial Officer and has the following contact phone number (916) 851-2559.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 11/18/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			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	GR0013030	MEDICAID	CALIFORNIA
2	680260555	OTHER		FAIRCHILD - MEDI-CAL SP
3	ZZZ52380Z	OTHER	CALIFORNIA	FAIRCHILD COURT - BSCA
4	GR0091675	MEDICAID	CALIFORNIA

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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