Contra Costa Regional Medical Center Outpatient Medi-Cal Ffs

LBN: Contra Costa County
Contra Costa Regional Medical Center Outpatient Medi-Cal Ffs is an health care organization with primary practice located at 2500 Alhambra Ave , Martinez CA 94553-3156. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Hospitals / General Acute Care Hospital. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Contra Costa County can be contacted via phone (925) 370-5955, or through Godley, Patrick M. via phone (925) 957-5405.

Contact Information

Primary practice address
2500 Alhambra Ave Martinez CA 94553-3156
Phone: (925) 370-5955
Fax: (925) 370-5275
Website:
Map and Directions
Authorized official contact:
Name: Godley, Patrick M.
Phone: (925) 957-5405

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 140000090 California
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1306912241
LBN Legal business name Contra Costa County
DBA Doing business as Contra Costa Regional Medical Center Outpatient Medi-Cal Ffs
Authorized official Godley, Patrick M.
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 24th, 2006
Last updated Nov 5th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306912241 NPPES
California MEDICAID HSP40276F

Popular Providers