<Unavail>

LBN: Progress Foundation
<Unavail> is an health care organization with primary practice located at 1120 Gordon Ln , Santa Rosa CA 95404-5636. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Progress Foundation can be contacted via phone (707) 255-9028, or through Navarro-Simeon, Bernadette Santiago via phone (415) 861-0828.

Contact Information

Primary practice address
1120 Gordon Ln Santa Rosa CA 95404-5636
Phone: (707) 255-9028
Fax: (707) 255-3715
Website:
Map and Directions
Authorized official contact:
Name: Navarro-Simeon, Bernadette Santiago PHD
Phone: (415) 861-0828

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 496803654 California

Profile Details

NPI number 1679025472
LBN Legal business name Progress Foundation
DBA Doing business as <Unavail>
Authorized official Navarro-Simeon, Bernadette Santiago PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 27th, 2016
Last updated Oct 12th, 2022 - about 4 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 1679025472 NPPES
California MEDICAID 49GH5

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