DEPARTMENT OF HEALTH SERVICES – NPI #1114071453
Clinic/Center

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).

DEPARTMENT OF HEALTH SERVICES is an AHC clinic located in SANTA ROSA, CA. NPPES has assigned the NPI number 1114071453 to DEPARTMENT OF HEALTH SERVICES on January 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 18 years ago on Dec 18, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEPARTMENT OF HEALTH SERVICES below.

NPI Profile for
DEPARTMENT OF HEALTH SERVICES

NPI Number
1114071453
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEPARTMENT OF HEALTH SERVICES
Primary location
155 N. PYTHIAN ROAD
SANTA ROSA, CA 95409
Phone: (707) 565-6350 Fax:
Mailing address
PO BOX 1539
SANTA ROSA, CA 95402-1539
Phone: Fax:
Organization Subpart
Yes - DEPARTMENT OF HEALTH SERVICES is subpart of another organization.
Authorized Official
DIANA STORNETTA
ACCOUNTANT III COMPLIANCE
Phone: (707) 565-4782
Updated
Identifiers

Identifiers for DEPARTMENT OF HEALTH SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCALIFORNIA MEDI-CALCAZZR11473F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.