Organization
HEALTH FOR ALL - REVERE CLINIC
Active
Parent organization
HEALTH FOR ALL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH FOR ALL, INC.
Authorized official
MR. CHUCK WIESEN (CEO)
(916) 441-2811
Entity
Organization
Contact information
Practice address
752 REVERE ST, UNIT B, SACRAMENTO, CA 95818-2073
(916) 441-2811
(916) 441-2876
Mailing address
420 I STREET, SUITE 7, SACRAMENTO, CA 95814-2319
(916) 441-2811
(916) 441-2876
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
030000221
CA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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