Vista Community Clinic
Clinic/Center, Federally Qualified Health Center (FQHC) in Vista, CA. Organization (NPI-2).
NPI number1295822658
StatusActive
Last updated in NPPESJun 16, 2010
Details
- NPI
- 1295822658
- Entity type
- Organization (NPI-2)
- Legal business name
- Vista Community Clinic
- Organization subpart
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- Jun 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | 080000002 | CA | Yes |
Practice location
1000 Vale Terrace DrVista, CA 92084-5218
Phone 760-631-5000
Mailing address
1000 Vale Terrace DrVista, CA 92084-5218
Authorized official
Michele Lambert
Cfo
7607260065
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