<Unavail>

LBN: Vista Community Clinic
<Unavail> is an health care organization with primary practice located at 134 Grapevine Rd , Vista CA 92083-4004. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Vista Community Clinic can be contacted via phone (760) 631-5030, or through Mannino, Barbara via phone (760) 631-5000.

Contact Information

Primary practice address
134 Grapevine Rd Vista CA 92083-4004
Phone: (760) 631-5030
Fax: (760) 414-3754
Website:
Map and Directions
Authorized official contact:
Name: Mannino, Barbara
Phone: (760) 631-5000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 49951 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1619107240
LBN Legal business name Vista Community Clinic
DBA Doing business as <Unavail>
Authorized official Mannino, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2009
Last updated Mar 11th, 2015 - about 11 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 1619107240 NPPES
Other 2120987 PK
MEDICAID 1851300123 PK

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