Organization
AMPLA HEALTH
Active
Other names
AMPLA HEALTH YUBA CITY MEDICAL, Ampla Health Yuba City
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
1000 SUTTER ST, YUBA CITY, CA 95991-3459
(530) 673-9420
(530) 673-9451
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
230000280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3883930
—
CA
01
—
BCP70718F
EWC:CDP:BCEDP
CA
01
—
EAP70718F
EXPANDED ACCESS TO PRIMARY CARE
CA
05
—
FHC70718F
—
CA
Enumeration date
07/14/2006
Last updated
11/11/2024
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