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Organization

HEALTH FOR ALL - REVERE CLINIC

Active
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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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