| NPI | 1144600248 |
|---|---|
| Doing Business As | SACRAMENTO COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JERRY T. BLIATOUT Administrator 916-642-1867 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2022-03-09 |