Provider Demographics
NPI:1235569971
Name:QUALITY HEALTHCARE CLINIC. INC
Entity Type:Organization
Organization Name:QUALITY HEALTHCARE CLINIC. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODIASE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:916-706-0416
Mailing Address - Street 1:7275 E SOUTHGATE DR STE 408
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2632
Mailing Address - Country:US
Mailing Address - Phone:916-706-0416
Mailing Address - Fax:916-706-0458
Practice Address - Street 1:7275 E SOUTHGATE DR STE 408
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2632
Practice Address - Country:US
Practice Address - Phone:916-706-0416
Practice Address - Fax:916-706-0458
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY HEALTHCARE CLINIC. INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-15
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care