Healthcare Provider Details

I. General information

NPI: 1598986010
Provider Name (Legal Business Name): COUNTY OF SOLANO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 TUOLUMNE ST
VALLEJO CA
94590-5700
US

IV. Provider business mailing address

275 BECK AVE # MS 5-215
FAIRFIELD CA
94533-6804
US

V. Phone/Fax

Practice location:
  • Phone: 707-553-5509
  • Fax: 707-553-5658
Mailing address:
  • Phone: 707-784-8575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: GIRLIE JARUMAY
Title or Position: H&SS CHIEF DEP ADMINISTRATION
Credential:
Phone: 707-784-8387