Provider Demographics
NPI:1326208372
Name:UNITED CHRISTIAN CENTERS OF THE GREATER SACRAMENTO AREA, INC.
Entity Type:Organization
Organization Name:UNITED CHRISTIAN CENTERS OF THE GREATER SACRAMENTO AREA, INC.
Other - Org Name:BRODERICK CHRISTIAN CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:916-372-0200
Mailing Address - Street 1:PO BOX 188150
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-8150
Mailing Address - Country:US
Mailing Address - Phone:916-372-0200
Mailing Address - Fax:916-372-0208
Practice Address - Street 1:110 6TH ST
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605-2748
Practice Address - Country:US
Practice Address - Phone:916-372-0200
Practice Address - Fax:916-372-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)