ELICA HEALTH CENTERS NPI 1265059182

NPI Information

NPI: 1265059182
Provider Name: ELICA HEALTH CENTERS

Other Name: ELICA HEALTH CENTERS - CADILLAC DRIVE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
77 CADILLAC DR STE 200
SACRAMENTO, CA
ZIP 95825
Phone: (916) 454-2345
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ELICA HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Sacramento, CA. ELICA HEALTH CENTERS NPI is 1265059182. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Elica Health Centers - Cadillac Drive.

The provider's business location address is:

77 CADILLAC DR STE 200
SACRAMENTO, CA
ZIP 95825-337
Phone: (916) 454-2345
Fax: (916) 890-3828

The provider's authorized official is Tatyana Bak .
The authorized official title is Ceo and has the following contact phone number (916) 569-8484.

The enumeration date for this NPI number is 6/26/2020 and was last updated on 3/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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