HEALTH FOR ALL - REVERE CLINIC NPI 1063965952

NPI Information

HEALTH FOR ALL - REVERE CLINIC is a federally qualified health center (fqhc) clinic center in Sacramento, CA. HEALTH FOR ALL - REVERE CLINIC NPI is 1063965952. The provider is registered as an organization entity type.

The provider's business location address is:

752 REVERE ST
UNIT B
SACRAMENTO, CA
ZIP 95818-073
Phone: (916) 441-2811
Fax: (916) 441-2876

The provider's authorized official is Chuck Wiesen .
The authorized official title is Ceo and has the following contact phone number (916) 441-2811.

The enumeration date for this NPI number is 7/27/2016 and was last updated on 7/27/2016.

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:

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