<Unavail>

LBN: Chw Medical Foundation
<Unavail> is an health care organization with primary practice located at 239 W Court St , Woodland CA 95695-2900. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Chw Medical Foundation can be contacted via phone (530) 668-2656, or through Hylen, Theresa M via phone (916) 851-2559.

Contact Information

Primary practice address
239 W Court St Woodland CA 95695-2900
Phone: (530) 668-2656
Fax: (530) 662-4527
Website:
Map and Directions
Authorized official contact:
Name: Hylen, Theresa M
Phone: (916) 851-2559

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1881711547
LBN Legal business name Chw Medical Foundation
DBA Doing business as <Unavail>
Authorized official Hylen, Theresa M
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 26th, 2007
Last updated Nov 18th, 2020 - about 6 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 1881711547 NPPES
California MEDICAID GR0091674
California Other ZZZ52383Z
California MEDICAID GR0013030
California Other 571205856

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