| Health For All - Revere Clinic | |
|
752 Revere St Unit B Sacramento CA 95818-2073 | |
| (916) 441-2811 | |
| (916) 441-2876 |
| Full Name | Health For All - Revere Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 752 Revere St, Sacramento, California |
| Authorized Official Name and Position | Chuck Wiesen (CEO) |
| Authorized Official Contact | 9164412811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health For All - Revere Clinic 420 I Street Suite 7 Sacramento CA 95814-2319 Ph: (916) 441-2811 | Health For All - Revere Clinic 752 Revere St Unit B Sacramento CA 95818-2073 Ph: (916) 441-2811 |
| NPI Number | 1063965952 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 07/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063965952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 030000221 (California) | Primary |
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