| Sacramento Community Clinic - Assembly Court | |
|
5524 Assembly Ct Sacramento CA 95823-2625 | |
| (916) 642-1867 | |
| Not Available |
| Full Name | Sacramento Community Clinic - Assembly Court |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5524 Assembly Ct, Sacramento, California |
| Authorized Official Name and Position | Jerry T Bliatout (CEO) |
| Authorized Official Contact | 9164283788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacramento Community Clinic - Assembly Court 7275 E Southgate Dr Suite 204 Sacramento CA 95823-2628 Ph: (916) 428-3788 | Sacramento Community Clinic - Assembly Court 5524 Assembly Ct Sacramento CA 95823-2625 Ph: (916) 642-1867 |
| NPI Number | 1295044832 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295044832 | NPI | - | NPPES |
| 1538180245 | Other | CA | UNSPECIFIED |
| 1699082867 | Other | CA | NPPES |
| 1740336734 | Other | CA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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