| One Community Health | |
|
1442 Ethan Way Ste 100 Sacramento CA 95825-2232 | |
| (916) 443-3299 | |
| Not Available |
| Full Name | One Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1442 Ethan Way Ste 100, Sacramento, California |
| Authorized Official Name and Position | Michelle Monroe (CEO) |
| Authorized Official Contact | 9169146240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Community Health 1500 21st St Sacramento CA 95811-5216 Ph: (916) 443-3299 | One Community Health 1442 Ethan Way Ste 100 Sacramento CA 95825-2232 Ph: (916) 443-3299 |
| NPI Number | 1982114492 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 03/30/2022 |
| Medicare PECOS PAC ID | 2769418151 |
|---|---|
| Medicare Enrollment ID | O20180129000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982114492 | NPI | - | NPPES |
| CMM70424F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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