COMMUNITY ORAL HEALTH SERVICES NPI 1003005307

Clinic/Center (Dental) in Greenfield, CA

NPI 1003005307 Organization Clinic/Center Dental

About COMMUNITY ORAL HEALTH SERVICES

Community Oral Health Services is a provider established in Greenfield, California specializing in clinic/center (dental) . The NPI number of Community Oral Health Services is 1003005307 and was assigned on October 2007. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Debra Ann Diaz (Executive Director)

NPI

1003005307

Provider NameCOMMUNITY ORAL HEALTH SERVICES
Provider Location Address801 WALNUT AVE GREENFIELD, CA 93927
Provider Mailing Address128 E ALISAL ST SALINAS, CA 93901
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date10-23-2007
Last Update Date10-25-2007


Primary Taxonomy

Taxonomy Code261QD0000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationDental

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



Authorized Official

Authorized Official NameMRS. DEBRA ANN DIAZ
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

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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.