| NPI | 1881613669 |
|---|---|
| Other Name | AMPLA HEALTH FAMILY DENTAL & MEDICAL |
| Entity Type | Organization |
| Authorized Contact | VICKI L CHISSIE Billing Account Manager 530-751-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-07-03 |