Provider Demographics
NPI:1215133749
Name:SIMA COMMUNITY BASED ORGANIZATION
Entity type:Organization
Organization Name:SIMA COMMUNITY BASED ORGANIZATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAMME COORDINATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHNSTONE
Authorized Official - Middle Name:SIKULU
Authorized Official - Last Name:WANJALA
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:254-543-1138
Mailing Address - Street 1:1691
Mailing Address - Street 2:
Mailing Address - City:KITALE
Mailing Address - State:RIFT VALLEY
Mailing Address - Zip Code:30200
Mailing Address - Country:KE
Mailing Address - Phone:254-543-1138
Mailing Address - Fax:254-543-1139
Practice Address - Street 1:1691
Practice Address - Street 2:
Practice Address - City:KITALE
Practice Address - State:RIFT VALLEY
Practice Address - Zip Code:30200
Practice Address - Country:KE
Practice Address - Phone:254-543-1138
Practice Address - Fax:254-543-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit