NPI | 1427808310 |
---|---|
Doing Business As | SACRAMENTO COMMUNITY CLINIC - B. TERI BURNS |
Entity Type | Organization |
Authorized Contact | JERRY T BLIATOUT CEO 916-642-1867 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
122300000X Dentist | |
171M00000X Case Manager/Care Coordinator | |
207Q00000X Family Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-03-25 |
Last Update Date | 2024-11-21 |