Healthcare Provider Details

I. General information

NPI: 1942417944
Provider Name (Legal Business Name): THE SALVATION ARMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 DEL NORTE AVE
YUBA CITY CA
95991-4113
US

IV. Provider business mailing address

401 DEL NORTE AVE
YUBA CITY CA
95991-4113
US

V. Phone/Fax

Practice location:
  • Phone: 530-216-4530
  • Fax: 530-671-7213
Mailing address:
  • Phone: 530-216-4530
  • Fax: 530-671-7213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number5800005AN
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: JULIUS MURPHY
Title or Position: CORPS OFFICER
Credential:
Phone: 530-216-4533