Provider Demographics
NPI:1417088782
Name:COMMUNICARE HEALTH CENTERS
Entity Type:Organization
Organization Name:COMMUNICARE HEALTH CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AFFRIME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-758-1205
Mailing Address - Street 1:950 SACRAMENTO AVE
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95605-1904
Mailing Address - Country:US
Mailing Address - Phone:916-371-1966
Mailing Address - Fax:916-371-2067
Practice Address - Street 1:950 SACRAMENTO AVE
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605-1904
Practice Address - Country:US
Practice Address - Phone:916-371-1966
Practice Address - Fax:916-371-2067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health