Provider Demographics
NPI:1386181329
Name:GOD'S WORD BIBLE CHURCH
Entity Type:Organization
Organization Name:GOD'S WORD BIBLE CHURCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PASTOR/PRESIDENT: COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:YANCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-914-5012
Mailing Address - Street 1:2701 DEL PASO RD # 130-250
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-2305
Mailing Address - Country:US
Mailing Address - Phone:916-696-2511
Mailing Address - Fax:
Practice Address - Street 1:1513 SPORTS DR STE 350
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-1903
Practice Address - Country:US
Practice Address - Phone:916-696-2511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-29
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAII15590316251T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization