Ampla Health Family Dental & Medical | |
285 Cohasset Rd Chico CA 95926-5513 | |
(530) 342-6065 | |
Not Available |
Full Name | Ampla Health Family Dental & Medical |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 285 Cohasset Rd, Chico, California |
Authorized Official Name and Position | Vicki L Chissie (BILLING ACCOUNT MANAGER) |
Authorized Official Contact | 5307513778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ampla Health Family Dental & Medical Po Box Ad Yuba City CA 95992-1396 Ph: (530) 751-3778 | Ampla Health Family Dental & Medical 285 Cohasset Rd Chico CA 95926-5513 Ph: (530) 342-6065 |
NPI Number | 1881613669 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 07/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881613669 | NPI | - | NPPES |
FHC70485F | Medicaid | CA | |
550001829 | Other | CA | CALIF DEPT OF PUBLIC HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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