Organization
COUNTY OF SACRAMENTO
Active
Organization
COUNTY OF SACRAMENTO
Active
Parent organization
COUNTY OF SACRAMENTO
Other names
Sacramento County Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SACRAMENTO
Authorized official
DR. SUSMITA MISHRA M.D. (MEDICAL DIRECTOR)
(916) 874-9919
Entity
Organization
Contact information
Practice address
4600 BROADWAY, SUITE 1100, SACRAMENTO, CA 95820
(916) 874-9670
(916) 875-6366
Mailing address
4600 BROADWAY, SUITE 2500, SACRAMENTO, CA 95820
(916) 875-5701
(916) 854-9612
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
11/13/2006
Last updated
07/02/2024
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