Organization Active NPI

Community Pool for the Handicapped, Inc.

  • Community Health Clinic/Center
  • Yuba City, CA
National Provider Identifier
1457765166
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
COMMUNITY POOL FOR THE HANDICAPPED, INC.
Doing business as
Butchie's Pool
Practice address
144 Gibson Ave
Yuba City, CA 95991-5513
Phone
(530) 671-4373
Fax
(530) 671-4352
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Mrs. Cynthia Lee Roderick
Title
Executive Director
Phone
(530) 671-4373

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Voluntary or Charitable Agency 251V00000X
Community Health Clinic/Center 261QC1500X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

144 Gibson Ave
Yuba City, CA 95991-5513

Mailing address

144 Gibson Ave
Yuba City, CA 95991-5513
Phone (530) 671-4373

Other names 1

  • Butchie's Pool Doing business as

National Provider Directory

National Provider Directory

Locations

144 Gibson Ave
Yuba City, CA 95991
Phone (530) 671-4373

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1457765166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 GIBSON AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915513",
            "telephone_number": "530-671-4373",
            "fax_number": "530-671-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 GIBSON AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915513",
            "telephone_number": "530-671-4373",
            "fax_number": "530-671-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY POOL FOR THE HANDICAPPED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-671-4373",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butchie's Pool",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.