HARBOR COMMUNITY CLINIC INC. NPI 1467490425

NPI Information

NPI: 1467490425
Provider Name: HARBOR COMMUNITY CLINIC INC.

Doing Business As: HARBOR COMMUNITY CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
593 W 6TH ST
SAN PEDRO, CA
ZIP 90731
Phone: (310) 547-0202
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HARBOR COMMUNITY CLINIC INC. is a federally qualified health center (fqhc) clinic center in San Pedro, CA. HARBOR COMMUNITY CLINIC INC. NPI is 1467490425. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Harbor Community Clinic.

The provider's business location address is:

593 W 6TH ST
SAN PEDRO, CA
ZIP 90731-521
Phone: (310) 547-0202
Fax: (310) 547-5096

The provider's authorized official is Tamra King .
The authorized official title is Executive Director and has the following contact phone number (310) 547-8241.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 2/8/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	960000085	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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