| |
3133 Professional Dr Auburn CA 95603-2463 | |
(530) 316-1500 | |
(530) 878-5050 |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3133 Professional Dr, Auburn, California |
Authorized Official Name and Position | Alasdair Jonathan Porteus (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9165505444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
777 12th St Ste 250 Sacramento CA 95814-1929 Ph: (916) 550-5444 | 3133 Professional Dr Auburn CA 95603-2463 Ph: (530) 316-1500 |
NPI Number | 1558862912 |
---|---|
Provider Enumeration Date | 02/21/2018 |
Last Update Date | 02/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558862912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
Western Sierra Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11720 Education St Ste 3, Auburn, CA 95602 Phone: 530-537-3000 Fax: 530-217-6137 | |
Covenant Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10831 Combie Rd Ste D, Auburn, CA 95602 Phone: 530-232-4646 | |
Chapa-de Indian Health Program, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11670 Atwood Rd, Auburn, CA 95603 Phone: 530-887-2800 Fax: 530-887-2807 | |
Chapa-de Indian Health Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11670 Atwood Rd, Auburn, CA 95603 Phone: 530-887-2800 Fax: 530-887-2807 | |