Healthcare Provider Details
I. General information
NPI: 1619189925
Provider Name (Legal Business Name): COUNTY OF SOLANO
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2007
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2201 COURAGE DR
FAIRFIELD CA
94533-6733
US
IV. Provider business mailing address
275 BECK AVE # MS 5-215
FAIRFIELD CA
94533-6804
US
V. Phone/Fax
- Phone: 707-784-2010
- Fax: 707-435-2032
- Phone: 707-784-8575
- Fax: 707-421-3207
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GIRLIE
JARUMAY
Title or Position: H&SS CHIEF DEP ADMINISTRATION
Credential:
Phone: 707-784-8387