Ampla Health Lindhurst Medical & Dental
LBN: Ampla Health
Ampla Health Lindhurst Medical & Dental is an health care organization with primary practice located at 4941 Olivehurst Ave. , Olivehurst CA 95961-4225. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Ampla Health can be contacted via phone (530) 743-4611, or through Flores, Benjamin H via phone (530) 751-3778.
Contact Information
Primary practice address
4941 Olivehurst Ave.
Olivehurst CA 95961-4225
Phone: (530) 743-4611
Fax: (530) 743-5770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 230000147 | California |
Profile Details
| NPI number | 1801829296 |
|---|---|
| LBN Legal business name | Ampla Health |
| DBA Doing business as | Ampla Health Lindhurst Medical & Dental |
| Authorized official | Flores, Benjamin H MPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Feb 29th, 2024 - about 9 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801829296 | NPPES |
| California | Other | BCP03867F | EWC:CDP:BCEDP |
| California | MEDICAID | FHC03867F | EWC:CDP:BCEDP |
| California | Other | HAP03867F | EWC:CDP:BCEDP |
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