UKIAH SENIOR CENTER NPI 1326100504

NPI Information

NPI: 1326100504
Provider Name: UKIAH SENIOR CENTER
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 05D1058960

Address:
497 LESLIE ST
UKIAH, CA
ZIP 95482
Phone: (707) 462-4343
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UKIAH SENIOR CENTER is an adult day care clinic center in Ukiah, CA. UKIAH SENIOR CENTER NPI is 1326100504. The provider is registered as an organization entity type.

The provider's business location address is:

497 LESLIE ST
UKIAH, CA
ZIP 95482-506
Phone: (707) 462-4343
Fax: (707) 462-2997

The provider's authorized official is Brenda Christian .
The authorized official title is Executive Director and has the following contact phone number (707) 462-4343.

The CLIA number assigned to this NPI record is 05D1058960 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 8/22/2020.

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	261QA0600X	Clinic/Center	Adult Day Care	ADU70096F	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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