American River Urgent Care, Inc | |
9490 Madison Ave Ste 100 Orangevale CA 95662-4983 | |
(916) 549-3973 | |
Not Available |
Full Name | American River Urgent Care, Inc |
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Speciality | Clinic/Center |
Location | 9490 Madison Ave Ste 100, Orangevale, California |
Authorized Official Name and Position | Andrew Nangalama (PRESIDENT) |
Authorized Official Contact | 9165493973 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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American River Urgent Care, Inc 9490 Madison Ave Ste 100 Orangevale CA 95662-4983 Ph: (916) 549-3973 | American River Urgent Care, Inc 9490 Madison Ave Ste 100 Orangevale CA 95662-4983 Ph: (916) 549-3973 |
NPI Number | 1598279085 |
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Provider Enumeration Date | 11/21/2017 |
Last Update Date | 01/19/2024 |
Medicare PECOS PAC ID | 5890050900 |
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Medicare Enrollment ID | O20180521000138 |
Identifier | Type | State | Issuer |
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1598279085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | A62253 (California) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Andrew Nangalama |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750481651 PECOS PAC ID: 2365499308 Enrollment ID: I20050401000682 |
Provider Name | Deborah Lenore Berry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194135988 PECOS PAC ID: 8527342252 Enrollment ID: I20170224001444 |
Provider Name | Maria Theresa Liceralde Wyson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861769648 PECOS PAC ID: 2062637309 Enrollment ID: I20200914001274 |
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