Provider Demographics
NPI:1003244377
Name:BAKERSFIELD AMERICAN INDIAN HEALTH PROJECT
Entity Type:Organization
Organization Name:BAKERSFIELD AMERICAN INDIAN HEALTH PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL APPLICATIONS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-327-4030
Mailing Address - Street 1:501 40TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5845
Mailing Address - Country:US
Mailing Address - Phone:661-327-4030
Mailing Address - Fax:661-327-0145
Practice Address - Street 1:501 40TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5845
Practice Address - Country:US
Practice Address - Phone:661-327-4030
Practice Address - Fax:661-327-0145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service