Provider Demographics
NPI:1225395940
Name:SALUD PARA LA GENTE
Entity Type:Organization
Organization Name:SALUD PARA LA GENTE
Other - Org Name:SPLG-COMMUNITY ORAL HEALTH SERVICE(FIXED TRAILER-#1)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-728-8250
Mailing Address - Street 1:195 AVIATION WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-2053
Mailing Address - Country:US
Mailing Address - Phone:831-422-6889
Mailing Address - Fax:831-728-0313
Practice Address - Street 1:801 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:CA
Practice Address - Zip Code:93927-4938
Practice Address - Country:US
Practice Address - Phone:831-728-8250
Practice Address - Fax:831-728-0313
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SALUD PARA LA GENTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-19
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)