Organization Name: | NATIONAL HEALTH SERVICES INC |
NPI Number: | 1336352616 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAGIH H MICHAEL (EXECUTIVE DIRECTOR) |
Mailing Address: | 655 S Central Valley Hwy #101 Shafter |
State: | CA US |
Postal Code: | 932632790 |
Phone Number: | 6617469194 |
Fax Number: | 6617469197 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 04/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | CLN 1250 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |