ERIC L ELLIS MD INC NPI 1386118305

NPI Information

NPI: 1386118305
Provider Name: ERIC L ELLIS MD INC

Doing Business As: LINCOLN URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
77 LINCOLN BLVD STE 1
LINCOLN, CA
ZIP 95648
Phone: (916) 258-2751
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ERIC L ELLIS MD INC is an urgent care clinic center in Lincoln, CA. ERIC L ELLIS MD INC NPI is 1386118305. The provider is registered as an organization entity type.
The provider Is Doing Business As Lincoln Urgent Care.

The provider's business location address is:

77 LINCOLN BLVD STE 1
LINCOLN, CA
ZIP 95648-422
Phone: (916) 258-2751
Fax: (916) 258-7172

The provider's authorized official is Eric Lee Ellis .
The authorized official title is President and has the following contact phone number (916) 258-2751.

The enumeration date for this NPI number is 1/12/2019 and was last updated on 11/29/2021.

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	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CA333419	MEDICAID	CALIFORNIA

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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