Organization
AMPLA HEALTH
Active
Other names
AMPLA HEALTH ORLAND MEDICAL & DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN H FLORES MPH (PRESIDENT, CHIEF EXECUTIVE OFFICER)
(530) 751-3778
Entity
Organization
Contact information
Practice address
1211 CORTINA DR, ORLAND, CA 95963-1699
(530) 865-5544
(530) 865-9209
Mailing address
PO 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
230000102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP80150F
EWC:CDP BCEDP
CA
05
—
FHC80150F
—
CA
01
—
HAP80150F
FAMILY PLANNING
CA
Enumeration date
07/08/2006
Last updated
02/29/2024
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