Organization Name: | CONTRA COSTA COUNTY |
NPI Number: | 1104996875 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK M. GODLEY (COO CFO) |
Mailing Address: | 13601 San Pablo Ave San Pablo |
State: | CA US |
Postal Code: | 948063818 |
Phone Number: | 9259575429 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 10/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0206X |
License Number: | 140000090 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mammography |
Taxonomy Definition: |