Impact Community Clinic

LBN: Pq Outreach Coalition
Impact Community Clinic is an health care organization with primary practice located at 10060 Carmel Mountain Rd , San Diego CA 92129-3228. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Pq Outreach Coalition can be contacted via phone (858) 206-1860, or through Harmaning, William Kenneth via phone (858) 206-1860.

Contact Information

Primary practice address
10060 Carmel Mountain Rd San Diego CA 92129-3228
Phone: (858) 206-1860
Fax: (858) 484-8577
Website:
Map and Directions
Authorized official contact:
Name: Harmaning, William Kenneth ED.D.
Phone: (858) 206-1860

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1619279361
LBN Legal business name Pq Outreach Coalition
DBA Doing business as Impact Community Clinic
Authorized official Harmaning, William Kenneth ED.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2010
Last updated Dec 1st, 2010 - about 16 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

Popular Providers