Provider Demographics
NPI:1093140790
Name:SOLANO COALITION FOR BETTER HEALTH
Entity Type:Organization
Organization Name:SOLANO COALITION FOR BETTER HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMERA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-410-0424
Mailing Address - Street 1:1 HARBOR CTR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-2473
Mailing Address - Country:US
Mailing Address - Phone:707-863-4419
Mailing Address - Fax:
Practice Address - Street 1:1 HARBOR CTR
Practice Address - Street 2:SUITE 270
Practice Address - City:SUISUN CITY
Practice Address - State:CA
Practice Address - Zip Code:94585-2473
Practice Address - Country:US
Practice Address - Phone:707-863-4419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable