Wal-Mart Associates, INC
Clinic/Center, Health Services in Carmichael, CA. Organization (NPI-2).
NPI number1083015481
StatusActive
Last updated in NPPESOct 20, 2016
Details
- NPI
- 1083015481
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Associates, INC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2014
- Last updated
- Oct 20, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | 64873 | CA | Yes |
| 261QP0905X | Clinic/Center, Public Health, State or Local | 64873 | CA |
Practice location
6005 Madison AveCarmichael, CA 95608-0521
Phone 916-534-1162
Mailing address
6005 Madison AveCarmichael, CA 95608-0521
Authorized official
Carla Brown
Market Health Wellness Director
4798995685
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