| Davis Community Clinic | |
|
2040 Sutter Pl Davis CA 95616-6201 | |
| (530) 758-2060 | |
| Not Available |
| Full Name | Davis Community Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2040 Sutter Pl, Davis, California |
| Authorized Official Name and Position | Kristie Stanley (DIRECTOR OF CLINICAL INFO SYSTEMS) |
| Authorized Official Contact | 5307533498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Community Clinic Po Box 1260 Davis CA 95617-1260 Ph: () - | Davis Community Clinic 2040 Sutter Pl Davis CA 95616-6201 Ph: (530) 758-2060 |
| NPI Number | 1447478268 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447478268 | NPI | - | NPPES |
| EAP11771F | Other | CA | EAPC ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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