Healthcare Provider Details
I. General information
NPI: 1386809317
Provider Name (Legal Business Name): BIRTH AND FAMILY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2008
Last Update Date: 07/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3234 MARYSVILLE BLVD
SACRAMENTO CA
95815-1411
US
IV. Provider business mailing address
3234 MARYSVILLE BLVD
SACRAMENTO CA
95815-1411
US
V. Phone/Fax
- Phone: 916-646-8000
- Fax: 916-923-6581
- Phone: 916-646-8000
- Fax: 916-923-6581
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
R.
MARIE
YOUNG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 916-646-8000