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Organization
NIGHTWATER HEALTH OF CALIFORNIA APMC
Active
Organization
NIGHTWATER HEALTH OF CALIFORNIA APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL IKEMIRE (CEO)
(916) 500-8086
Entity
Organization
Contact information
Practice address
87 SCRIPPS DR STE 100, SACRAMENTO, CA 95825-6379
(916) 415-7010
(916) 244-0100
Mailing address
111 WATER ST STE 4, EXETER, NH 03833-2456
(603) 247-5442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C159092
MBC
CA
Enumeration date
10/21/2021
Last updated
12/16/2022
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