Provider Demographics
NPI:1740483106
Name:HEALTHCARE MANAGEMENT COMPOSITE, INC
Entity type:Organization
Organization Name:HEALTHCARE MANAGEMENT COMPOSITE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCINDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TINCHER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:916-364-5300
Mailing Address - Street 1:9837 FOLSOM BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-1356
Mailing Address - Country:US
Mailing Address - Phone:916-364-5300
Mailing Address - Fax:
Practice Address - Street 1:9837 FOLSOM BLVD STE A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-1356
Practice Address - Country:US
Practice Address - Phone:916-364-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty