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WESTERN SIERRA MEDICAL CLINIC INC. NPI 1336627546


NPI Information

NPI: 1336627546
Provider Name: WESTERN SIERRA MEDICAL CLINIC, INC.

Doing Business As: WESTERN SIERRA MEDICAL CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3111 PROFESSIONAL DR
AUBURN, CA
ZIP 95603
Phone: (530) 273-4984
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WESTERN SIERRA MEDICAL CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Auburn, CA. WESTERN SIERRA MEDICAL CLINIC, INC. NPI is 1336627546. The provider is registered as an organization entity type.
The provider Is Doing Business As Western Sierra Medical Clinic.

The provider's business location address is:

3111 PROFESSIONAL DR
AUBURN, CA
ZIP 95603
Phone: (530) 273-4984
Fax: (530) 273-4573

The provider's authorized official is Francine Novak .
The authorized official title is Chief Planning And Development Offi and has the following contact phone number (530) 273-4984.

The enumeration date for this NPI number is 7/31/2018 and was last updated on 8/1/2018.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)230000145CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11851513469MEDICAIDCALIFORNIA

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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