AMPLA HEALTH NPI 1801829296

NPI Information

NPI: 1801829296
Provider Name: AMPLA HEALTH

Other Name: AMPLA HEALTH LINDHURST MEDICAL & DENTAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
4941 OLIVEHURST AVE.
OLIVEHURST, CA
ZIP 95961
Phone: (530) 743-4611
Get Directions

AMPLA HEALTH is a federally qualified health center (fqhc) clinic center in Olivehurst, CA. AMPLA HEALTH NPI is 1801829296. The provider is registered as an organization entity type.
The provider Other Name Is Ampla Health Lindhurst Medical & Dental.

The provider's business location address is:

4941 OLIVEHURST AVE.
OLIVEHURST, CA
ZIP 95961-225
Phone: (530) 743-4611
Fax: (530) 743-5770

The provider's authorized official is Benjamin H Flores .
The authorized official title is President, Chief Executive Officer and has the following contact phone number (530) 751-3739.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 7/21/2020.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	230000147	CALIFORNIA	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
1	FHC03867F	MEDICAID	CALIFORNIA
2	BCP03867F	OTHER	CALIFORNIA	EWC:CDP:BCEDP
3	HAP03867F	OTHER	CALIFORNIA	FAMILY PLANNING

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: 11/14/2023

NPI Synchronization or Removal

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