| Vida Family Health Center | |
|
954 Sacramento Ave West Sacramento CA 95605-1904 | |
| (530) 285-3201 | |
| Not Available |
| Full Name | Vida Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 954 Sacramento Ave, West Sacramento, California |
| Authorized Official Name and Position | Rose Macisaac (CFO) |
| Authorized Official Contact | 7607676435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Family Health Center Po Box 1260 Davis CA 95617-1260 Ph: (530) 753-3198 | Vida Family Health Center 954 Sacramento Ave West Sacramento CA 95605-1904 Ph: (530) 285-3201 |
| NPI Number | 1881330579 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 10/17/2023 |
| Medicare PECOS PAC ID | 7315934767 |
|---|---|
| Medicare Enrollment ID | O20240312001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881330579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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