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 | 261QR0206X | Clinic/Center | Radiology, Mammography | | | No |
| 2 | 261QH0100X | Clinic/Center | Health Service | | | No |
| 3 | 261QM1000X | Clinic/Center | Migrant Health | | | No |
| 4 | 261QR0207X | Clinic/Center | Radiology, Mobile Mammography | | | No |
| 5 | 261QP0905X | Clinic/Center | Public Health, State or Local | | | No |
| 6 | 174200000X | Meals | | | | No |
| 7 | 177F00000X | Lodging | | | | No |
| 8 | 251K00000X | Public Health or Welfare | | | | No |
| 9 | 261QC1500X | Clinic/Center | Community Health | | | No |
| 10 | 261QR1100X | Clinic/Center | Research | | | No |
| 11 | 261QR1300X | Clinic/Center | Rural Health | | | No |
| 12 | 281P00000X | Chronic Disease Hospital | | | | No |
| 13 | 302F00000X | Exclusive Provider Organization | | | | No |
| 14 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 15 | 251B00000X | Case Management | | | | Yes |