Provider Demographics
NPI:1346460904
Name:UC DAVIS MEDICAL CENTER
Entity Type:Organization
Organization Name:UC DAVIS MEDICAL CENTER
Other - Org Name:CARE MANAGEMENT SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:916-734-8309
Mailing Address - Street 1:3700 BUSINESS DR
Mailing Address - Street 2:SUITE #130
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-2164
Mailing Address - Country:US
Mailing Address - Phone:916-734-5432
Mailing Address - Fax:916-734-0616
Practice Address - Street 1:3700 BUSINESS DR
Practice Address - Street 2:SUITE #130
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-2164
Practice Address - Country:US
Practice Address - Phone:916-734-5432
Practice Address - Fax:916-734-0616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital