Organization Name: | TAFT MEDICAL CLINIC |
NPI Number: | 1609171727 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA ROBERTS (CEO) |
Mailing Address: | 400 Center St Taft |
State: | CA US |
Postal Code: | 932683511 |
Phone Number: | 6617699930 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2011 |
NPI Last Update Date: | 01/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |