| NPI | 1477586808 |
|---|---|
| Other Name | AMPLA HEALTH COLUSA MEDICAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN H FLORES President, Chief Executive Officer 530-751-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 230000216) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-02-29 |