| Organization Name: | SIERRA FAMILY MEDICAL CLINIC, INC |
| NPI Number: | 1013305861 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE WEBER (CEO) |
| Mailing Address: | 15301 Tyler Foote Rd Nevada City |
| State: | CA US |
| Postal Code: | 959599318 |
| Phone Number: | 5302923478 |
| Fax Number: | 5302924296 |
| NPI Enumeration Date: | 01/02/2015 |
| NPI Last Update Date: | 01/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | G43114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |