NPI | 1740336734 |
---|---|
Other Name | 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 A73749) | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2022-01-19 |