Organization
CHW MEDICAL FOUNDATION
Active
Parent organization
CHW MEDICAL FOUNDATION
Other names
Woodland Clinic, a Service of CHW Medical Foundation
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHW MEDICAL FOUNDATION
Authorized official
THERESA M HYLEN (CHIEF FINANCIAL OFFICER)
(916) 851-2559
Entity
Organization
Contact information
Practice address
515 FAIRCHILD CT, WOODLAND, CA 95695-5164
(530) 668-2600
(530) 666-7255
Mailing address
1321 COTTONWOOD ST, WOODLAND, CA 95695-5131
(530) 668-2600
(530) 666-7255
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091675
—
CA
01
—
ZZZ52380Z
BSCA
—
Enumeration date
10/22/2010
Last updated
11/18/2020
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