BI-VALLEY MEDICAL CLINIC INC (NPI# 1174544092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174544092 |
| Entity Type | Organization |
| Organization Name | BI-VALLEY MEDICAL CLINIC INC |
| Practice Address |
310 Harris Ave Suite A, E, F, G Sacramento CA 95838-3249 |
| Mailing Address |
1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 |
| Practice Telephone | 9166496793 |
| Practice Fax Number | 9164180174 |
| Mailing Telephone | 6947048784 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | BOND ANDREWS (VP, REVENUE CYCLE MANAGEMENT) |
| Authorized Official Telephone | 2143793398 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
34-04 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0004552 | 05 | |
| CA | MEDI-CAL | HDC70032F | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962423889 | Bi-valley Medical Clinic Inc | Clinic/Center | 6127 Fair Oaks Blvd, Carmichael, CA 95608-4818 | 2006-07-23 |
| Street Address |
310 HARRIS AVE SUITE A, E, F, G |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95838-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912935123 | Michael Parr | Obstetrics & Gynecology | 310 Harris Ave, Suite A, Sacramento, CA 95838-3249 | 2006-06-28 |
| 1356967418 | Emma Bihag | Licensed Vocational Nurse | 310 Harris Ave, Sacramento, CA 95838-3249 | 2020-06-24 |
| 1871124131 | Veronica Saelee | Licensed Vocational Nurse | 310 Harris Ave, Sacramento, CA 95838-3249 | 2020-01-27 |
| 1407417694 | Tamera Star Hess | Counselor | 310 Harris Ave, Sacramento, CA 95838-3249 | 2019-06-27 |
| 1184288656 | Cassie Ann Kaplan | Case Manager/Care Coordinator | 310 Harris Ave, Sacramento, CA 95838-3249 | 2019-04-30 |
| 1760957195 | Stacey Lynne Mayberry | Licensed Vocational Nurse | 310 Harris Ave, Sacramento, CA 95838-3249 | 2018-10-12 |
| 1689115420 | Karen Shanahan | Counselor | 310 Harris Ave, Sacramento, CA 95838-3249 | 2017-03-13 |
| 1659721405 | David Thomas Garcia Jr. | Counselor | 310 Harris Ave, Suite A, Sacramento, CA 95838-3249 | 2016-06-13 |
| 1154799773 | Shannon Martin | Counselor | 310 Harris Ave, Suite A, Sacramento, CA 95838 | 2015-09-14 |
| 1881080877 | Michelle Hill | Counselor | 310 Harris Ave, Suite A, Sacramento, CA 95838-3249 | 2015-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1508193996 | Associated Medical Transport | Non-emergency Medical Transport (VAN) | 181 Grace Avenue, Sacramento, CA 95838 | 2009-11-05 |
| 1619131828 | Charlene Sashington | Counselor | 310 Harris Avenue, Ste A, Sacramento, CA 95838 | 2008-07-16 |
| 1164694451 | Jerry Lee Hull | Counselor | 310 Harris Avenue Suite A, Sacramento, CA 95838 | 2008-03-27 |
| 1831361294 | Diane Yvonne Dickinson | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2008-03-26 |
| 1629131073 | Ernesto S Orendain | Chiropractor | 3901 Norwood Ave, Suite A, Sacramento, CA 95838 | 2006-12-18 |
| 1518033901 | Cynthia Max-wright | Marriage & Family Therapist | 395 Performance Dr, Ste G, Sacramento, CA 95838 | 2006-11-28 |
| 1134185333 | Lu Saelee | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2006-04-25 |
| 1669438008 | Ming-huei Wu | Registered Nurse | 3950 Research Drive, Sacramento, CA 95838 | 2006-04-25 |
| 1366439358 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 3951 Performance Dr, Ste H, Sacramento, CA 95838 | 2005-10-04 |
| Find all providers in zip 95838 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1023657327 | Treatment Associates, Inc | Clinic/Center | 7225 E Southgate Dr, Sacramento, CA 95823-2652 | 2020-01-03 |
| 1326283706 | C.o.r.e. Medical Clinic, Inc. | Clinic/Center | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2008-12-12 |
| 1255419172 | Medmark Treatment Centers - Sacramento Inc | Clinic/Center | 7240 E Southgate Dr, Suite G, Sacramento, CA 95823-2627 | 2006-11-01 |
| 1831109735 | Treatment Associates, Inc. | Clinic/Center | 7225 E Southgate Dr, Sacramento, CA 95823-2620 | 2006-08-09 |
| 1609897529 | Bi-valley Medical Clinic, Inc. | Clinic/Center | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2006-07-23 |
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| 1306326699 | Kristen Andree Rickard | Clinic/Center | 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 | 2018-08-16 |
| 1083141600 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1145 Market St Fl 10, San Francisco, CA 94103-1566 | 2017-05-13 |
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| City | SACRAMENTO |
| Zip Code | 95838 |
Please comment or provide details below to improve the information on BI-VALLEY MEDICAL CLINIC INC.
| 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.