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institution
Department Of Health Services
Clinic/Center in Santa Rosa, California
NPI 1114071453

Department Of Health Services is a Clinic/Center based in Santa Rosa, CA. Department Of Health Services practices in Santa Rosa, CA. The NPI Number for Department Of Health Services is 1114071453 and holds a License No. (California).

The current practice location address for Department Of Health Services is 155 N. Pythian Road, Santa Rosa, CA and can be reached out via phone at 707-565-6350.

Location: 155 N. Pythian Road, Santa Rosa, CA, 95402-1539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114071453
Provider Name
Department Of Health Services
Credential
Provider Entity Type
Organization
Address
155 N. Pythian Road, Santa Rosa, CA, 95402-1539
Phone Number
707-565-6350
Fax Number
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZR11473F 01 CA CALIFORNIA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
155 N. Pythian Road
City
Santa Rosa
State
California
Zip
95409
Phone Number
707-565-6350
Fax Number
person
Provider Business Mailing Address Details
Address
155 N. Pythian Road
City
Santa Rosa
State
California
Zip
95409
Phone Number
707-565-6350
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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