Organization Name: | NORTHEAST VALLEY HEALTH CORPORATION |
NPI Number: | 1063699080 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY WYARD (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 1600 San Fernando Road San Fernando |
State: | CA US |
Postal Code: | 91340 |
Phone Number: | 8183658086 |
Fax Number: | 8188984826 |
NPI Enumeration Date: | 01/22/2008 |
NPI Last Update Date: | 01/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0050X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Family Planning, Non-Surgical |
Taxonomy Definition: | An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |