Organization
GRASSROOTS HEALTHCARE FOUNDATION
Active
Organization
GRASSROOTS HEALTHCARE FOUNDATION
Active
Parent organization
GRASSROOTS HEALTHCARE FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRASSROOTS HEALTHCARE FOUNDATION
Authorized official
DR. JERRY CLINE MD (MD)
(707) 992-5809
Entity
Organization
Contact information
Practice address
732 PLACER CIR, VACAVILLE, CA 95687-7882
(707) 992-5809
(707) 210-0480
Mailing address
732 PLACER CIR, VACAVILLE, CA 95687-7882
(707) 992-5809
(707) 210-0480
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
10/03/2019
Last updated
08/18/2022
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