Organization
AMPLA HEALTH
Active
Organization
AMPLA HEALTH
Active
Other names
AMPLA HEALTH ARBUCKLE MEDICAL & DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN H FLORES MPH (PRESIDENT, CHIEF EXECUTIVE OFFICER)
(530) 751-3739
Entity
Organization
Contact information
Practice address
89 PUTNAM WAY, ARBUCKLE, CA 95912-9814
(530) 476-2200
(530) 476-2201
Mailing address
935 MARKET ST, YUBA CITY, CA 95991-4217
(530) 751-3769
(530) 751-1237
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6517638
—
CA
Enumeration date
01/16/2008
Last updated
10/11/2022
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