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NPI Code Detail

MEDICARE: AMPLA HEALTH

MEDICARE: AMPLA HEALTH
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
1171M00000XCase Manager/Care Coordinator
2261QF0400XFederally Qualified Health Center (FQHC)230000280CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2BCP70718FOTHERCAEWC:CDP:BCEDP
3EAP70718FOTHERCAEXPANDED ACCESS TO PRIMARY CARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831115070
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMPLA HEALTH
Provider Business Mailing Address
First Line : PO BOX AD
Second Line :
City : YUBA CITY
State : CA
Zip : 95992-1396
Country : US
Telephone Number : 530-751-3778
Fax Number : 530-751-1237
Provider Business Practice Location Address
First Line : 1000 SUTTER ST
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-3459
Country : US
Telephone Number : 530-673-9420
Fax Number : 530-673-9451
Authorized Official
Title or Position : PRESIDENT, CHIEF EXECUTIVE OFFICER
Name : MR. BENJAMIN H FLORES
Credential : MPH
Telephone Number : 530-751-3778
Provider Enumeration Date : 07/14/2006
Last Update Date : 11/11/2024

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Directions to “AMPLA HEALTH ” Practice Location

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