Organization Name: | VA NCHCS |
NPI Number: | 1104895440 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID SIEGAL (CHIEF, MEDICINE SERVICE) |
Mailing Address: | 10535 Hospital Way Mather |
State: | CA US |
Postal Code: | 956554200 |
Phone Number: | 9163665406 |
Fax Number: | 9168437323 |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | A81456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |