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SIERRA FAMILY MEDICAL CLINIC INC NPI 1316169618


NPI Information

NPI: 1316169618
Provider Name: SIERRA FAMILY MEDICAL CLINIC INC

Doing Business As: SIERRA FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D0617483

Address:
15301 TYLER FOOTE RD
NEVADA CITY, CA
ZIP 95959
Phone: (530) 292-3478
Get Directions

SIERRA FAMILY MEDICAL CLINIC INC is a federally qualified health center (fqhc) clinic center in Nevada City, CA. SIERRA FAMILY MEDICAL CLINIC INC NPI is 1316169618. The provider is registered as an organization entity type.
The provider Is Doing Business As Sierra Family Health Center.

The provider's business location address is:

15301 TYLER FOOTE RD
NEVADA CITY, CA
ZIP 95959
Phone: (530) 292-3478
Fax: (530) 292-4296

The provider's authorized official is Jenny Lawson .
The authorized official title is Coo and has the following contact phone number (530) 292-3478.

The CLIA number assigned to this NPI record is 05D0617483 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/3/2007 and was last updated on 2/20/2024.


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

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
1EAP70780FOTHERCALIFORNIAEAPC
2FHC70780FMEDICAIDCALIFORNIA
3ZZZ42078ZOTHERCALIFORNIAMEDICARE NHIC
4ZZZ54742ZOTHERCALIFORNIABLUE SHIELD
5BCP70780FOTHERCALIFORNIACDP

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

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