NPIMap

Organization Active NPI

Yolo Wayfarer Center (Christian Mission)

Doing business as Fourth and Hope

  • Point of Service
  • Woodland, CA
National Provider Identifier
1922466226
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
570008BN Issued in CA
Legal business name
YOLO WAYFARER CENTER (CHRISTIAN MISSION)
Doing business as
Fourth and Hope
Practice address
207 4TH St
Woodland, CA 95695-3501
Phone
(530) 661-1218
Fax
(530) 661-2494
NPI assigned
Feb 2, 2016
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Doug Zeck
Title
Executive Director
Phone
(530) 661-1218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 570008BN CA Primary

Addresses

Primary practice location

207 4TH St
Woodland, CA 95695-3501

Mailing address

PO Box 1248
Woodland, CA 95776-1248
Phone (530) 661-1218

Other names 1

  • Fourth and Hope Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fourth and Hope2 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.

Locations

207 4th St
Woodland, CA 95695
Phone (530) 661-1218

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1922466226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1248",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957761248",
            "telephone_number": "530-661-1218",
            "fax_number": "530-661-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 4TH ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953501",
            "telephone_number": "530-661-1218",
            "fax_number": "530-661-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLO WAYFARER CENTER (CHRISTIAN MISSION)",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "ZECK",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-661-1218"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "570008BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fourth and Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.