Communicare Health Centers
Organization Active NPI Federally Qualified Health Center (FQHC) · Knight Landing, CA
NPI 1114059474 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1114059474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COMMUNICARE HEALTH CENTERS
- Practice address
- 9586 Mill Street
Knight Landing, CA 95645 - Phone
- (530) 735-1776
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Kristie Stanley
- Title
- Director of Clinical Info Systems
- Phone
- (530) 753-3498
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Communicare Health Centers
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGGIAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | CA | Yes |
Addresses
Primary practice location
9586 Mill Street
Knight Landing, CA 95645
Mailing address
PO Box 1260
Davis, CA 95617-1260
Phone (530) 753-3498
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC11771F | Medicaid | CA |
Other names
- Knights Landing Community Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.