NPI | 1548095672 |
---|---|
Doing Business As | SACRAMENTO COMMUNITY CLINIC |
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 | 207Q00000X Family Medicine |
Enumeration Date | 2024-09-06 |
Last Update Date | 2024-09-06 |