Alternate Avenues

LBN: Alternate Avenues Womens Resource Center
Alternate Avenues is an health care organization with primary practice located at 17057 Foothill Blvd Ste 204 , Fontana CA 92335-3574. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Alternate Avenues Womens Resource Center can be contacted via phone (909) 621-4800, or through Jepson, Kerry via phone (909) 621-4800.

Contact Information

Primary practice address
17057 Foothill Blvd Ste 204 Fontana CA 92335-3574
Phone: (909) 621-4800
Fax: (909) 232-8466
Website:
Map and Directions
Authorized official contact:
Name: Jepson, Kerry
Phone: (909) 621-4800

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X 240000855 California

Profile Details

NPI number 1669529863
LBN Legal business name Alternate Avenues Womens Resource Center
DBA Doing business as Alternate Avenues
Authorized official Jepson, Kerry
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Nov 13th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669529863 NPPES
California MEDICAID CMM71007F

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