Healthcare Provider Details

I. General information

NPI: 1972971703
Provider Name (Legal Business Name): FOLSOM URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2015
Last Update Date: 03/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CREEKSIDE DR SUITE 1400
FOLSOM CA
95630-3444
US

IV. Provider business mailing address

1520 E COVELL BLVD SUITE 351
DAVIS CA
95616-1366
US

V. Phone/Fax

Practice location:
  • Phone: 916-984-8244
  • Fax: 916-984-8206
Mailing address:
  • Phone: 916-479-9110
  • Fax: 916-226-2656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MS. BEVERLY JANE CAPEL
Title or Position: MANAGER
Credential:
Phone: 916-479-9110