Provider Demographics
NPI:1497191399
Name:CALIFORNIA HEALTH AND WELLNESS PLAN
Entity Type:Organization
Organization Name:CALIFORNIA HEALTH AND WELLNESS PLAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-658-0305
Mailing Address - Street 1:1740 CREEKSIDE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-3639
Mailing Address - Country:US
Mailing Address - Phone:877-658-0305
Mailing Address - Fax:
Practice Address - Street 1:1740 CREEKSIDE OAKS DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-3639
Practice Address - Country:US
Practice Address - Phone:877-658-0305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTENE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-17
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization