Organization
AMPLA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI L CHISSIE (PATIENT ACCOUNT MANAGER)
(530) 751-3778
Entity
Organization
Contact information
Practice address
608 J STREET, MARYSVILLE, CA 95901-5413
(530) 749-4180
(530) 599-7923
Mailing address
PO BOX AD, YUBA CITY, CA 95992-1936
(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
—
—
Other
Enumeration date
12/21/2023
Last updated
01/31/2024
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