Communicare Health Centers
Clinic/Center, Federally Qualified Health Center (FQHC) in Knight Landing, CA. Organization (NPI-2).
NPI number1114059474
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1114059474
- Entity type
- Organization (NPI-2)
- Legal business name
- Communicare Health Centers
- Organization subpart
- No
- Enumeration date
- Mar 12, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | CA | Yes |
Other names
- Knights Landing Community Clinic (Doing Business As)
Practice location
9586 Mill StreetKnight Landing, CA 95645
Phone 530-735-1776
Mailing address
Po Box 1260Davis, CA 95617-1260
Phone 530-753-3498 · Fax 530-758-2109
Authorized official
Kristie Stanley
Director Of Clinical Info Systems
5307533498
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