NPI | 1538180245 |
---|---|
Doing Business As | SACRAMENTO COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | JERRY T BLIATOUT Administrator 916-428-3788 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
207Q00000X Family Medicine (Licence: CA A36371) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2022-04-21 |