NPI Code Detail JSON Logo

1811204555 NPI number — AMPLA HEALTH

NPI Number: 1811204555
Health Care Provider/Practitioner: AMPLA HEALTH

Information about “1811204555” NPI (AMPLA HEALTH) exists in 1811204555 in HTML format HTML  |  1811204555 in plain Text format TXT  |  1811204555 in PDF (Portable Document Format) PDF  |  1811204555 in an XML format XML  formats.

NPI Number : 1811204555 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811204555",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AMPLA HEALTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "935 MARKET ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YUBA CITY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95991-4217",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-751-3769",
    "MailingAddressFaxNumber": "530-751-1237",
    "FirstLinePracticeLocationAddress": "935 MARKET ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YUBA CITY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95991-4217",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-358-9791",
    "PracticeLocationAddressFaxNumber": "530-674-4269",
    "EnumerationDate": "09/01/2010",
    "LastUpdateDate": "07/21/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FLORES",
    "AuthorizedOfficialFirstName": "BENJAMIN",
    "AuthorizedOfficialMiddleName": "H",
    "AuthorizedOfficialTitle": "PRESIDENT, CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MPH",
    "AuthorizedOfficialTelephoneNumber": "530-751-3739",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QF0400X",
        "TaxonomyName": "Federally Qualified Health Center (FQHC)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.