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ADVANCED NUTRITION CENTER NPI 1003220872


NPI Information

NPI: 1003220872
Provider Name: ADVANCED NUTRITION CENTER

Former Legal Business Name: ADVANCED NUTRITION MINISTRIES

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
2322 BUTANO DRIVE
SUITE 106
SACRAMENTO, CA
ZIP 95825
Phone: (916) 487-9355
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ADVANCED NUTRITION CENTER is a point of service in Sacramento, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. ADVANCED NUTRITION CENTER NPI is 1003220872. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Advanced Nutrition Ministries.

The provider's business location address is:

2322 BUTANO DRIVE
SUITE 106
SACRAMENTO, CA
ZIP 95825
Phone: (916) 487-9355

The provider's authorized official is Sherrlyn Christmas .
The authorized official title is Owner and has the following contact phone number (916) 487-9355.

The enumeration date for this NPI number is 6/19/2014 and was last updated on 4/29/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceYes

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: 4/28/2024

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