Provider Demographics
NPI:1073365631
Name:CALIFORNIA COVERAGE AND HEALTH INITIATIVES (CCHI)
Entity Type:Organization
Organization Name:CALIFORNIA COVERAGE AND HEALTH INITIATIVES (CCHI)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-758-2201
Mailing Address - Street 1:1107 9TH ST STE 650
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-3611
Mailing Address - Country:US
Mailing Address - Phone:916-758-2201
Mailing Address - Fax:
Practice Address - Street 1:1107 9TH ST STE 650
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-3611
Practice Address - Country:US
Practice Address - Phone:916-758-2201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable