Grassroots Healthcare Foundation

LBN: Grassroots Healthcare Foundation
Grassroots Healthcare Foundation is an health care organization with primary practice located at 732 Placer Cir , Vacaville CA 95687-7882. The organization recently has 2 registered licenses in different health care specialties including Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Agencies / Voluntary or Charitable is the primary health care specialty. Grassroots Healthcare Foundation can be contacted via phone (707) 992-5809, or through Cline, Jerry via phone (707) 992-5809.

Contact Information

Primary practice address
732 Placer Cir Vacaville CA 95687-7882
Phone: (707) 992-5809
Fax: (707) 210-0480
Website:
Map and Directions
Authorized official contact:
Name: Cline, Jerry Doctor of Medicine (MD)
Phone: (707) 992-5809

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1215578885
LBN Legal business name Grassroots Healthcare Foundation
DBA Doing business as
Authorized official Cline, Jerry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 3rd, 2019
Last updated Aug 18th, 2022 - about 2 years 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.

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