SIERRA IMMEDIATE CARE MEDICAL CENTER NPI 1871759431

NPI Information

NPI: 1871759431
Provider Name: SIERRA IMMEDIATE CARE MEDICAL CENTER
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
1000 FOWLER WAY
SUITE #7
PLACERVILLE, CA
ZIP 95667
Phone: (530) 295-1074
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SIERRA IMMEDIATE CARE MEDICAL CENTER is an urgent care clinic center in Placerville, CA. SIERRA IMMEDIATE CARE MEDICAL CENTER NPI is 1871759431. The provider is registered as an organization entity type.

The provider's business location address is:

1000 FOWLER WAY
SUITE #7
PLACERVILLE, CA
ZIP 95667-738
Phone: (530) 295-1074
Fax: (530) 295-0328

The provider's authorized official is Paul B Sobelman .
The authorized official title is Owner and has the following contact phone number (530) 295-1074.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 9/25/2008.

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	261QU0200X	Clinic/Center	Urgent Care	FNP 31014	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	00G392741	MEDICAID	CALIFORNIA
2	ZZZ1691Z	MEDICARE PIN	CALIFORNIA

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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