Victor Community Support Services, Fairfield - Webster St. | |
801 Empire St Fairfield CA 94533-5702 | |
(707) 425-5744 | |
Not Available |
Full Name | Victor Community Support Services, Fairfield - Webster St. |
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Speciality | Community/behavioral Health |
Location | 801 Empire St, Fairfield, California |
Authorized Official Name and Position | Angie R Wiechert (DIRECTOR OF FINANCIAL ANALYSIS) |
Authorized Official Contact | 5302301210 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Victor Community Support Services, Fairfield - Webster St. 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, Fairfield - Webster St. 801 Empire St Fairfield CA 94533-5702 Ph: (707) 425-5744 |
NPI Number | 1619612447 |
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Provider Enumeration Date | 05/05/2022 |
Last Update Date | 08/28/2024 |
Certification Date | 08/28/2024 |
Identifier | Type | State | Issuer |
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1619612447 | NPI | - | NPPES |
01042 | Other | CA | LEGAL ENTITY NUMBER |
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