Organization Name: | ALTAMED HEALTH SERVICES CORP |
NPI Number: | 1518171016 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT U. YOUNG (AVP, PATIENT FINANCIAL SERVICES) |
Mailing Address: | 6901 Atlantic Ave Bell |
State: | CA US |
Postal Code: | 902013646 |
Phone Number: | 3235626700 |
Fax Number: | 3235629208 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 02/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | FHC71020F |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |