| Department Of Health Services | |
|
625 5th St Santa Rosa CA 95404-4428 | |
| (707) 565-4460 | |
| Not Available |
| Full Name | Department Of Health Services |
|---|---|
| Speciality | Clinic/center |
| Location | 625 5th St, Santa Rosa, California |
| Authorized Official Name and Position | Diana Stornetta (ACCOUNTANT III COMPLIANCE) |
| Authorized Official Contact | 7075654782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Health Services 625 5th St Santa Rosa CA 95404-4428 Ph: () - | Department Of Health Services 625 5th St Santa Rosa CA 95404-4428 Ph: (707) 565-4460 |
| NPI Number | 1437203940 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437203940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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