COMMUNICARE HEALTH CENTERS (NPI# 1114059474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114059474 |
| Entity Type | Organization |
| Organization Name | COMMUNICARE HEALTH CENTERS |
| Other Organization Name | KNIGHTS LANDING COMMUNITY CLINIC |
| Practice Address |
9586 Mill Street Knight Landing CA 95645 |
| Mailing Address |
Po Box 1260 Davis CA 95617-1260 |
| Practice Telephone | 5307351776 |
| Mailing Telephone | 5307533498 |
| Mailing Fax Number | 5307582109 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KRISTIE STANLEY (DIRECTOR OF CLINICAL INFO SYSTEMS) |
| Authorized Official Telephone | 5307533498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC11771F | 05 |
| Other Name | Type Code |
|---|---|
| Knights Landing Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366091191 | Communicare Health Centers | Community/Behavioral Health | 453 1st St, Woodland, CA 95695-4023 | 2019-09-04 |
| 1144687955 | Communicare Health Centers | Clinic/Center | 3680 Industrial Blvd Ste 100, West Sacramento, CA 95691-6504 | 2016-01-25 |
| 1649645185 | Communicare Health Centers | Clinic/Center | 2780 E Gibson Rd, Woodland, CA 95776-5147 | 2015-12-09 |
| 1356569172 | Communicare Health Centers | Clinic/Center | 215 West Beamer St., Woodland, CA 95695-2585 | 2007-04-24 |
| 1568680940 | Communicare Health Centers | Clinic/Center | 16827 Freemont St., Esparto, CA 95627 | 2007-04-23 |
| 1942332754 | Communicare Health Centers | Clinic/Center | 500b Jefferson Blvd # 195, West Sacramento, CA 95605-2349 | 2007-03-09 |
| 1417088782 | Communicare Health Centers | Community/Behavioral Health | 950 Sacramento Ave, West Sacramento, CA 95605-1904 | 2007-03-08 |
| 1710087515 | Communicare Health Centers | Clinic/Center | 500 B Jefferson Blvd, #180, West Sacramento, CA 95605 | 2006-09-22 |
| 1558366823 | Communicare Health Centers | Clinic/Center | 2051 John Jones Rd, Davis, CA 95616-9701 | 2005-06-14 |
| 1215561808 | Communicare Health Centers | Clinic/Center | 1717 5th St, Davis, CA 95616-3945 | 2020-02-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNICARE HEALTH CENTERS | 3066 E Commerce, San Antonio, TX 78220-1013 |
| Street Address |
9586 MILL STREET |
| City | KNIGHT LANDING |
| State | CA |
| Zip Code | 95645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548463458 | Jean Ruth Elise Schneider | Licensed Vocational Nurse | 18026 Cranmore Rd, Knights Landing, CA 95645-9520 | 2007-06-07 |
| 1225550874 | Wellspace Health | Clinic/Center | 11333 Prospect Drive, Martell, CA 95645-9998 | 2017-07-14 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | KNIGHT LANDING |
| Zip Code | 95645 |
Please comment or provide details below to improve the information on COMMUNICARE HEALTH CENTERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.