MEDICARE: HEALTH FOR ALL, INC.

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	261QF0400X	Federally Qualified Health Center (FQHC)	030000534	CA
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1891705596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH FOR ALL, INC.

Provider Business Mailing Address
First Line	:	420 I STREET
Second Line	:	SUITE 7
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-2319
Country	:	US
Telephone Number	:	916-441-2811
Fax Number	:	916-441-2876

Provider Business Practice Location Address
First Line	:	1281 NORTH AVENUE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-3661
Country	:	US
Telephone Number	:	916-924-6703
Fax Number	:	916-922-4578

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHUCK WIESEN
Credential	:
Telephone Number	:	916-441-2811

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	04/24/2014

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Directions to “HEALTH FOR ALL, INC. ” Practice Location

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