Organization
AMPLA HEALTH
Active
Other names
Ampla Health Chico Medical & Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN H FLORES MPH (PRESIDENT, CEO)
(530) 751-3778
Entity
Organization
Contact information
Practice address
680 COHASSET RD, CHICO, CA 95926-2213
(530) 342-4395
(530) 894-2325
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70485F
EWC:CDP: BCEDP
CA
05
—
FHC70485F
—
CA
01
—
HAP70485F
FAMILY PLANNING
CA
Enumeration date
07/14/2006
Last updated
02/29/2024
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