| Ampla Health | |
|
285 Cohasset Rd Chico CA 95926-5513 | |
| (530) 342-6065 | |
| Not Available |
| Full Name | Ampla Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 285 Cohasset Rd, Chico, California |
| Authorized Official Name and Position | Vicki L Chissie (BILLING ACCOUNT MANAGER) |
| Authorized Official Contact | 5307513778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ampla Health Po Box Ad Yuba City CA 95992-1396 Ph: (530) 751-3778 | Ampla Health 285 Cohasset Rd Chico CA 95926-5513 Ph: (530) 342-6065 |
| NPI Number | 1881613669 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 07/03/2024 |
| Medicare PECOS PAC ID | 5092619270 |
|---|---|
| Medicare Enrollment ID | O20241115003190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881613669 | NPI | - | NPPES |
| FHC70485F | Medicaid | CA | |
| 550001829 | Other | CA | CALIF DEPT OF PUBLIC HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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