MEDICARE: COMMUNICARE HEALTH CENTERS

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1710019633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNICARE HEALTH CENTERS

Provider Business Mailing Address
First Line	:	804 COURT ST
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-3517
Country	:	US
Telephone Number	:	530-668-2400
Fax Number	:	530-668-3434

Provider Business Practice Location Address
First Line	:	804 COURT ST
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-3517
Country	:	US
Telephone Number	:	530-668-2400
Fax Number	:	530-668-3434

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ROBIN AFFIRME
Credential	:
Telephone Number	:	530-758-1205

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	08/22/2020

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