NPIMap

Organization Active NPI

Fort Help Mission Inc

  • Methadone Clinic
  • San Francisco, CA
National Provider Identifier
1902341191
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
38-22 Issued in CA
Legal business name
FORT HELP MISSION INC
Practice address
1101 Capp St
San Francisco, CA 94110-4697
Phone
(661) 254-6630
NPI assigned
Dec 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Sheena Simon, RN
Title
San Francisco Director
Phone
(415) 827-1428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 38-22 CA Primary

Addresses

Primary practice location

1101 Capp St
San Francisco, CA 94110-4697

Mailing address

1101 Capp St
San Francisco, CA 94110-4697
Phone (661) 254-6630

National Provider Directory

National Provider Directory
Tax ID family
Fort Help Mission Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1902341191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CAPP ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104697",
            "telephone_number": "661-254-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CAPP ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104697",
            "telephone_number": "661-254-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT HELP MISSION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "SAN FRANCISCO DIRECTOR",
        "authorized_official_telephone_number": "415-827-1428",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "38-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.