Organization Name: | BAKERSFIELD AMERICAN INDIAN HEALTH PROJECT |
NPI Number: | 1003244377 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL L. TATUM (CHEIF EXECUTIVE OFFICER) |
Mailing Address: | 1617 30th St Bakersfield |
State: | CA US |
Postal Code: | 933011907 |
Phone Number: | 6613274030 |
Fax Number: | 6613270145 |
NPI Enumeration Date: | 10/24/2013 |
NPI Last Update Date: | 10/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |