Elica Health Centers
Clinic/Center, Federally Qualified Health Center (FQHC) in Sacramento, CA. Organization (NPI-2).
NPI number1093974065
StatusActive
Last updated in NPPESFeb 18, 2022
Details
- NPI
- 1093974065
- Entity type
- Organization (NPI-2)
- Legal business name
- Elica Health Centers
- Organization subpart
- Yes
- Enumeration date
- Jun 5, 2008
- Certification date
- Feb 18, 2022
- Last updated
- Feb 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Other names
- Elica Health Centers - Midtown Medical Centers (Other Name)
Practice location
3701 J St Ste 201Sacramento, CA 95816-5542
Phone 916-454-2345 · Fax 916-457-2667
Mailing address
1860 Howe Ave Ste 440Sacramento, CA 95825-1098
Phone 916-569-8484 · Fax 916-256-2214
Authorized official
Tatyana Bak
Ceo
9165698484
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