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NPI Code Detail

MEDICARE: HEALTH FOR ALL, INC.

MEDICARE: HEALTH FOR ALL, 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
1302R00000XHealth Maintenance OrganizationA21800CA
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1841209087
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH FOR ALL, INC.
Provider Business Mailing Address
First Line : 420 I STREET
Second Line : SUITE 7
City : SACRAMENTO
State : CA
Zip : 95814-2319
Country : US
Telephone Number : 916-441-2811
Fax Number : 916-441-2876
Provider Business Practice Location Address
First Line : 923 V ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95818-1331
Country : US
Telephone Number : 916-448-6553
Fax Number : 916-448-5647
Authorized Official
Title or Position : CEO
Name : MR. CHUCK WIESEN
Credential :
Telephone Number : 916-441-2811
Provider Enumeration Date : 08/05/2006
Last Update Date : 04/24/2014

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