Provider Demographics
NPI:1063996122
Name:NATOMAS URGENT CARE INC.
Entity type:Organization
Organization Name:NATOMAS URGENT CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:CAPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-479-9110
Mailing Address - Street 1:9045 BRUCEVILLE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5950
Mailing Address - Country:US
Mailing Address - Phone:916-497-9110
Mailing Address - Fax:916-226-2656
Practice Address - Street 1:4321 TRUXEL RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-3753
Practice Address - Country:US
Practice Address - Phone:916-524-6976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care