Provider Demographics
NPI:1508384843
Name:DONOR NETWORK WEST
Entity Type:Organization
Organization Name:DONOR NETWORK WEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SILJESTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-480-3180
Mailing Address - Street 1:12667 ALOCSTA BOULEVARD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94509
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12667 ALCOSTA BLVD.
Practice Address - Street 2:SUITE 500
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583
Practice Address - Country:US
Practice Address - Phone:925-480-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335U00000XSuppliersOrgan Procurement Organization