| Ampla Health La Paloma | |
|
1574 Kirk Rd Gridley CA 95948-9417 | |
| (530) 846-3707 | |
| (530) 846-3709 |
| Full Name | Ampla Health La Paloma |
|---|---|
| Speciality | Clinic/center |
| Location | 1574 Kirk Rd, Gridley, California |
| Authorized Official Name and Position | Benjamin H Flores (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5307513739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ampla Health La Paloma Po Box Ad Yuba City CA 95992-1396 Ph: (530) 751-3769 | Ampla Health La Paloma 1574 Kirk Rd Gridley CA 95948-9417 Ph: (530) 846-3707 |
| NPI Number | 1205851151 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 01/18/2021 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205851151 | NPI | - | NPPES |
| 5537638 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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