CONTRA COSTA COUNTY NPI 1285712471

NPI Information

NPI: 1285712471
Provider Name: CONTRA COSTA COUNTY

Doing Business As: ANTIOCH HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2335 COUNTRY HILLS DR
ANTIOCH, CA
ZIP 94509
Phone: (925) 957-5429
Get Directions

CONTRA COSTA COUNTY is a federally qualified health center (fqhc) clinic center in Antioch, CA. CONTRA COSTA COUNTY NPI is 1285712471. The provider is registered as an organization entity type.
The provider Is Doing Business As Antioch Health Center.

The provider's business location address is:

2335 COUNTRY HILLS DR
ANTIOCH, CA
ZIP 94509-319
Phone: (925) 957-5429
Fax: (925) 957-5401

The provider's authorized official is Patrick M. Godley .
The authorized official title is Coo / Cfo and has the following contact phone number (925) 957-5405.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 4/24/2024.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	140000090	CALIFORNIA	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	FHC80132F	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: 4/28/2024

NPI Synchronization or Removal

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