Organization · Type 2 NPI

Health and Life Organization, Inc

Federally Qualified Health Center (FQHC) · Sacramento, CA

NPI number 1740336734 Active

Practice location

7275 E Southgate Dr, Suite 204
Sacramento, CA 95823-2628

Call (916) 428-3788 Map

Fax (916) 428-0788

Mailing address

3030 Explorer Dr
Sacramento, CA 95827-2728

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Family Medicine Physician	207Q00000X	A73749 (CA)
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

20 other providers at this address

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NPI record

NPI: 1740336734
Entity type: Organization (Type 2)
Issued: Jan 25, 2007
Last updated: Jan 19, 2022
Status: Active

Other names

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Sacramento Community Clinic · other name
Sacramento Community Clinic · other name

Authorized official

Mr. Jerry T. Bliatout, JD
Administrator
(916) 428-3788

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 1740336734

Health and Life Organization, Inc's National Provider Identifier is 1740336734, issued on Jan 25, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sacramento, CA. The record was last updated on Jan 19, 2022.