Healthcare Provider Details

I. General information

NPI: 1639492390
Provider Name (Legal Business Name): EFFORT,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 04/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3234 MARYSVILLE BLVD
SACRAMENTO CA
95815
US

IV. Provider business mailing address

1820 J ST
SACRAMENTO CA
95811-3010
US

V. Phone/Fax

Practice location:
  • Phone: 916-646-8000
  • Fax: 916-446-1901
Mailing address:
  • Phone: 916-325-5556
  • Fax: 916-923-6581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIE R YOUNG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 916-646-8000