| Grassroots Healthcare Foundation | |
|
732 Placer Cir Vacaville CA 95687-7882 | |
| (707) 992-5809 | |
| (707) 210-0480 |
| Full Name | Grassroots Healthcare Foundation |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 732 Placer Cir, Vacaville, California |
| Authorized Official Name and Position | Jerry Cline (MD) |
| Authorized Official Contact | 7079925809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grassroots Healthcare Foundation 732 Placer Cir Vacaville CA 95687-7882 Ph: (707) 992-5809 | Grassroots Healthcare Foundation 732 Placer Cir Vacaville CA 95687-7882 Ph: (707) 992-5809 |
| NPI Number | 1215578885 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215578885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
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