Chapa-De Indian Health Program, Inc. in Auburn - Federally Qualified Health Center (fqhc)
Chapa-De Indian Health Program, Inc. - NPI 1114057163
Chapa-De Indian Health Program, Inc. is a Federally Qualified Health Center (fqhc) in Auburn, California. Chapa-De Indian Health Program, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Chapa-De Indian Health Program, Inc. is 1114057163. The last update date is 2018-01-03.
Chapa-De Indian Health Program, Inc.'s current location address is 11670 Atwood Rd, Auburn, California. You can contact this provider via phone number 5308872800. The mailing address for Chapa-De Indian Health Program, Inc. is 11670 Atwood Rd, Auburn, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chapa-De Indian Health Program, Inc. |
|---|---|
| Address | 11670 Atwood Rd, Auburn, California |
| Phone Number | 5308872800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Haitsma Sierk |
| Telephone Number | 5308892841 |
NPI Number Detail
| NPI Number | 1114057163 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2018-01-03 |
Provider Mailing Address Detail
| Address | 11670 Atwood Rd |
|---|---|
| City | Auburn |
| State | California (CA) |
| Post Code | 956039522 |
| Phone Number | 5308872800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 30000189 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| THP12027F | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Chapa-De Indian Health Program, Inc. by the Centers for Medicare & Medicaid Services?
The Chapa-De Indian Health Program, Inc. has been issued the NPI (National Provider Identifier) 1114057163. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Chapa-De Indian Health Program, Inc. located?
The Chapa-De Indian Health Program, Inc. is located at 11670 Atwood Rd, Auburn, CA 956039522.
What is Chapa-De Indian Health Program, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Chapa-De Indian Health Program, Inc.'s area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114057163 to Chapa-De Indian Health Program, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1114057163 to Chapa-De Indian Health Program, Inc. on 2007-03-07.
When was the information related to Chapa-De Indian Health Program, Inc. most recently updated or refreshed?
The details pertaining to the Chapa-De Indian Health Program, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2018-01-03.
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