PEACH TREE HEALTHCARE NPI 1245043413

NPI Information

  • NPI: 1245043413
  • Provider Name: PEACH TREE HEALTHCARE
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 3840 ROSIN CT STE 150
    SACRAMENTO, CA
    ZIP 95834
  • Phone: (530) 749-3242

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NPI Details

PEACH TREE HEALTHCARE is a federally qualified health center (fqhc) clinic center in Sacramento, CA. PEACH TREE HEALTHCARE NPI is 1245043413. The provider is registered as an organization entity type.

The provider's business location address is:

3840 ROSIN CT STE 150
SACRAMENTO, CA
ZIP 95834-699
Phone: (530) 749-3242
Fax: (530) 743-5044

The provider's authorized official is Michelle Woodard .
The authorized official title is Ceo and has the following contact phone number (530) 749-3242.

The enumeration date for this NPI number is 1/30/2025 and was last updated on 1/30/2025.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 11/21/2025

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