# VA NCHCS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104895440
- **Authorized official:** DAVID SIEGAL (CHIEF, MEDICINE SERVICE)
- **Authorized official phone:** (916) 843-7096

## Contact information

- **Practice address:** 10535 HOSPITAL WAY, MATHER, CA 95655-4200
- **Practice address phone:** (916) 366-5406
- **Practice address fax:** (916) 843-7323
- **Mailing address:** 11400 SABALO WAY, GOLD RIVER, CA 95670-6206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | A81456 | CA | Yes |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 08/22/2020