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NPI Code Detail

MEDICARE: ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY INC

MEDICARE: ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility100000311CA
2332BN1400XNursing Facility Supplies (DME)CA
3332BP3500XParenteral & Enteral Nutrition Supplies (DME)CA
4314000000XSkilled Nursing Facility030000311CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639261795
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY INC
Provider Business Mailing Address
First Line : 7801 RUSH RIVER DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95831-4602
Country : US
Telephone Number : 916-393-9020
Fax Number : 916-393-9025
Provider Business Practice Location Address
First Line : 7801 RUSH RIVER DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95831-4602
Country : US
Telephone Number : 916-393-9020
Fax Number : 916-393-0113
Authorized Official
Title or Position : BILLING MANAGER
Name : MARISSA BELMES
Credential :
Telephone Number : 916-393-9020
Provider Enumeration Date : 09/28/2006
Last Update Date : 09/25/2020

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Directions to “ASIAN COMMUNITY CENTER OF SACRAMENTO VALLEY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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