Provider Demographics
NPI:1710019633
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:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AFFIRME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-758-1205
Mailing Address - Street 1:804 COURT ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3517
Mailing Address - Country:US
Mailing Address - Phone:530-668-2400
Mailing Address - Fax:530-668-3434
Practice Address - Street 1:804 COURT ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3517
Practice Address - Country:US
Practice Address - Phone:530-668-2400
Practice Address - Fax:530-668-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health