Healthcare Provider Details

I. General information

NPI: 1245272699
Provider Name (Legal Business Name): NATIONAL HEATH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 S CENTRAL VALLEY HWY
SHAFTER CA
93263-2790
US

IV. Provider business mailing address

655 S CENTRAL VALLEY HWY
SHAFTER CA
93263-2790
US

V. Phone/Fax

Practice location:
  • Phone: 661-746-9194
  • Fax: 661-746-9197
Mailing address:
  • Phone: 661-746-9194
  • Fax: 661-746-9197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License NumberA92001
License Number StateCA

VIII. Authorized Official

Name: MR. JANO MATTEO
Title or Position: DIRECTOR OF HUMAN SERVICES
Credential: JD
Phone: 661-459-1912