Organization Name: | COMMUNICARE HEALTH CENTERS |
NPI Number: | 1144687955 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN AFFRIME (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 3680 Industrial Blvd Ste 100 West Sacramento |
State: | CA US |
Postal Code: | 956916504 |
Phone Number: | 9162283378 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2016 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | 550002588 |
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: |