Organization · Type 2 NPI

Ampla Health

Federally Qualified Health Center (FQHC) · Colusa, CA

NPI number 1477586808 Active

Practice location

555 Fremont St
Colusa, CA 95932-2534

Call (530) 458-8635 Map

Fax (530) 458-7830

Mailing address

PO Box Ad
Yuba City, CA 95992-1396

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Clinic/Center	261Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	230000216 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

7 other providers at this address

Other federally qualified health center (fqhc) providers in Colusa

Colusa Indian Community CouncilFederally Qualified Health Center (FQHC) Colusa, CA NPI 1285036533
Colusa Indian Community CouncilFederally Qualified Health Center (FQHC) Colusa, CA NPI 1790778660

See all in Colusa →

NPI record

NPI: 1477586808
Entity type: Organization (Type 2)
Issued: Jul 9, 2006
Last updated: Feb 29, 2024
Status: Active

Other names

<unavail>
Ampla Health Colusa Medical · other name
Ampla Health Colusa Medical · other name

Authorized official

Mr. Benjamin H Flores, MPH
President, Chief Executive Officer
(530) 751-3778

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477586808

Ampla Health's National Provider Identifier is 1477586808, issued on Jul 9, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Colusa, CA. The record was last updated on Feb 29, 2024.