| Knights Landing Community Clinic | |
|
9586 Mill Street Knight Landing CA 95645 | |
| (530) 735-1776 | |
| Not Available |
| Full Name | Knights Landing Community Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9586 Mill Street, Knight Landing, 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 |
|---|---|
| Knights Landing Community Clinic Po Box 1260 Davis CA 95617-1260 Ph: (530) 753-3498 | Knights Landing Community Clinic 9586 Mill Street Knight Landing CA 95645 Ph: (530) 735-1776 |
| NPI Number | 1114059474 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114059474 | NPI | - | NPPES |
| FHC11771F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |