HEALTH AND LIFE ORGANIZATION INC. NPI 1508487653

NPI Information

HEALTH AND LIFE ORGANIZATION, INC. is a federally qualified health center (fqhc) clinic center in Sacramento, CA. HEALTH AND LIFE ORGANIZATION, INC. NPI is 1508487653. The provider is registered as an organization entity type.
The provider Is Doing Business As Sacramento Community Clinic - 55th.

The provider's business location address is:

7215 55TH ST
SACRAMENTO, CA
ZIP 95823-659
Phone: (916) 642-1867
Fax: (884) 491-6066

The provider's authorized official is Jerry T Bliatout .
The authorized official title is Ceo and has the following contact phone number (916) 642-1867.

The CLIA number assigned to this NPI record is 05D0973380 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2020 and was last updated on 5/31/2023.

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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