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SACRAMENTO LIFE CENTER NPI 1174824437


NPI Information

NPI: 1174824437
Provider Name: SACRAMENTO LIFE CENTER

Former Legal Business Name: SACRAMENTO LIFE CENTER INC

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 05D0926010

Address:
2316 BELL EXECUTIVE LN
SACRAMENTO, CA
ZIP 95825
Phone: (916) 451-4357
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SACRAMENTO LIFE CENTER is a community health clinic center in Sacramento, CA. SACRAMENTO LIFE CENTER NPI is 1174824437. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Sacramento Life Center Inc.

The provider's business location address is:

2316 BELL EXECUTIVE LN
SACRAMENTO, CA
ZIP 95825-068
Phone: (916) 451-4357
Fax: (916) 447-4953

The provider's authorized official is Marie Leatherby .
The authorized official title is Executive Director and has the following contact phone number (916) 451-4357.

The CLIA number assigned to this NPI record is 05D0926010 - other - pregnancy resource ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2010 and was last updated on 7/21/2022.


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
1261QC1500XClinic/CenterCommunity Health030000651CALIFORNIAYes

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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