Provider Demographics
NPI:1467981290
Name:HOWELL HEALTHCARE TO, INC
Entity Type:Organization
Organization Name:HOWELL HEALTHCARE TO, INC
Other - Org Name:ADULT & PEDIATRIC URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:NACIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-529-5370
Mailing Address - Street 1:PO BOX 539
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93020-0539
Mailing Address - Country:US
Mailing Address - Phone:805-529-5370
Mailing Address - Fax:805-529-5397
Practice Address - Street 1:166 N MOORPARK RD STE 102-104
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-4405
Practice Address - Country:US
Practice Address - Phone:805-371-4499
Practice Address - Fax:805-371-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-06
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty