KNIGHTS LANDING COMMUNITY CLINIC – NPI #1114059474
Clinic/Center

KNIGHTS LANDING COMMUNITY CLINIC is an AHC clinic located in KNIGHTS LANDING, CA. NPPES has assigned the NPI number 1114059474 to KNIGHTS LANDING COMMUNITY CLINIC on March 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KNIGHTS LANDING COMMUNITY CLINIC” is a dba name, the actual legal business name for this organization is COMMUNICARE HEALTH CENTERS. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KNIGHTS LANDING COMMUNITY CLINIC below.

NPI Profile for
COMMUNICARE HEALTH CENTERS

NPI Number
1114059474
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNICARE HEALTH CENTERS
Doing Business As (dba): KNIGHTS LANDING COMMUNITY CLINIC
Primary location
9586 MILL STREET
KNIGHTS LANDING, CA 95645
Phone: (530) 735-1776 Fax:
Mailing address
PO BOX 1260
DAVIS, CA 95617-1260
Phone: (530) 753-3498 Fax: (530) 758-2109
Organization Subpart
No
Authorized Official
KRISTIE STANLEY
DIRECTOR OF CLINICAL INFO SYSTEMS
Phone: (530) 753-3498
Updated
Identifiers

Identifiers for KNIGHTS LANDING COMMUNITY CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAFHC11771F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.