Organization Active NPI

Washington Township Hospital Development Corporation

  • Community Health Clinic/Center
  • Fremont, CA
National Provider Identifier
1194750877
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION
Practice address
2000 Mowry Ave
Fremont, CA 94538-1716
Phone
(510) 608-3203
Fax
(510) 742-9285
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Nancy Farber
Title
President and Ceo
Phone
(510) 745-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X CA Primary

Addresses

Primary practice location

2000 Mowry Ave
Fremont, CA 94538-1716

Mailing address

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 608-3203

Other identifiers 2

IdentifierTypeStateIssuer
CMM70999FMedicaidCA
ZZZ07349ZOtherCABLUE SHIELD GRP PROV#

Other names 1

  • Washington On Wheels Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1194750877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-608-3203",
            "fax_number": "510-742-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-608-3203",
            "fax_number": "510-742-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "FARBER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "510-745-6500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70999F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GRP PROV#",
            "identifier": "ZZZ07349Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington On Wheels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.