Chapa-De Indian Health Program, Inc. in Auburn - Federally Qualified Health Center (fqhc)
Chapa-De Indian Health Program, Inc. - NPI 1174653059
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 1174653059. The last update date is 2011-11-02.
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 and fax number 5308872807. 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 | 5308872807 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Haitsma Sierk |
| Telephone Number | 5308872841 |
NPI Number Detail
| NPI Number | 1174653059 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2011-11-02 |
Provider Mailing Address Detail
| Address | 11670 Atwood Rd |
|---|---|
| City | Auburn |
| State | California (CA) |
| Post Code | 956039522 |
| Phone Number | 5308872800 |
| Fax Number | 5308872807 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 30000513 |
|
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 |
|---|---|---|---|
| THP70647F | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Chapa-De Indian Health Program, Inc. by the Centers for Medicare & Medicaid Services?
The Chapa-De Indian Health Program, Inc. has been assigned the NPI (National Provider Identifier) 1174653059. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Chapa-De Indian Health Program, Inc.?
The Chapa-De Indian Health Program, Inc. is physically situated at 11670 Atwood Rd, in the city of Auburn, state of CA, with the postal code 956039522.
What is Chapa-De Indian Health Program, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Chapa-De Indian Health Program, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did Chapa-De Indian Health Program, Inc. receive its 1174653059 assignment from the Centers for Medicare & Medicaid Services?
The Chapa-De Indian Health Program, Inc. was assigned its 1174653059 on 2007-03-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Chapa-De Indian Health Program, Inc. last refreshed?
The information related to the Chapa-De Indian Health Program, Inc., including its address, specialty, and other relevant details, was last updated on 2011-11-02.
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