COMMUNITY ORAL HEALTH SERVICES NPI 1003005307

Clinic/Center (Dental) in Greenfield, CA

About COMMUNITY ORAL HEALTH SERVICES

Community Oral Health Services is a provider in Greenfield, CA. The NPI number assigned to this provider is 1003005307. The practitioner's primary taxonomy code is Clinic/Center (261QD0000X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003005307 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameCOMMUNITY ORAL HEALTH SERVICES
Provider Location Address801 WALNUT AVE GREENFIELD, CA 93927 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address128 E ALISAL ST SALINAS, CA 93901 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?Yes Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-23-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-25-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

COMMUNITY ORAL HEALTH SERVICES
801 WALNUT AVE
GREENFIELD, CA
ZIP 93927
Phone: (831) 674-1570
Fax: (831) 674-9058
Get Directions

Mailing Address

COMMUNITY ORAL HEALTH SERVICES
128 E ALISAL ST
SALINAS, CA
ZIP 93901
Phone: (831) 422-6889
Fax: (831) 422-6111

Primary Taxonomy

Taxonomy Code261QD0000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationDental

Authorized Official

Authorized Official NameMRS. DEBRA ANN DIAZ Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(831) 422-6889

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G92048-01OTHER (01)CA

Map Location


COMMUNITY ORAL HEALTH SERVICES address is 801 WALNUT AVE GREENFIELD, CA 93927

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225395940SALUD PARA LA GENTE
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))801 WALNUT AVE
GREENFIELD, CA 93927
(831) 728-8250