Organization
AMPLA HEALTH
Active
Other names
AMPLA HEALTH RICHLAND MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN FLORES (CEO/PRESIDENT)
(530) 751-3778
Entity
Organization
Contact information
Practice address
355 SAMUEL DR, YUBA CITY, CA 95991-6324
(530) 674-9200
(530) 674-5667
Mailing address
P.O. BOX AD, YUBA CITY, CA 95992-1396
(530) 751-3778
(530) 751-1237
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
230000189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255350351
—
CA
01
—
BCP70478F
EWC:CDP:BCEDP
CA
05
—
FHC70478F
—
CA
01
—
HAP70478F
FAMILY PLANNING
CA
Enumeration date
07/19/2006
Last updated
02/29/2024
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