ST HELENA HOSPITAL (NPI# 1891214532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891214532 |
Entity Type | Organization |
Organization Name | ST HELENA HOSPITAL |
Other Organization Name | BEHAVIORAL WELLNESS CENTER |
Practice Address |
183 Butcher Rd Ste B Vacaville CA 95687-5691 |
Mailing Address |
525 Oregon St Vallejo CA 94590-3201 |
Practice Telephone | 7076482200 |
Mailing Telephone | 7076482200 |
Enumeration Date | 2017-09-13 |
Last Update Date | 2017-09-13 |
Authorized Official Name | MRS. KIMBERLY B MEREDITH (REGIONAL DIRECCTOR RISK) |
Authorized Official Telephone | 7079636260 |
Is Organization Subpart | Y |
Parent Organization Name | ST. HELENA HOSPITAL OR CENTER FOR BEHAVIORAL HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ADULT MENTAL HEALTH | 261QM0850X | 01 |
Other Name | Type Code |
---|---|
Behavioral Wellness Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982718953 | St Helena Hospital | Pharmacy | 6 Woodland Rd, Ste 100, Saint Helena, CA 94574-9501 | 2006-08-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ST HELENA HOSPITAL FOUNDATION | 10 Woodland Rd, Saint Helena, CA 94574-9554 |
Street Address |
183 BUTCHER RD STE B |
City | VACAVILLE |
State | CA |
Zip Code | 95687-5691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487172573 | Yee Man Lo | Speech-Language Pathologist | 183 Butcher Rd Ste B, Vacaville, CA 95687-5691 | 2017-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
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Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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---|---|---|---|---|
1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
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1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.