Provider Demographics
NPI:1144900150
Name:RAINBOW KIDS URGENT CARE
Entity type:Organization
Organization Name:RAINBOW KIDS URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:YIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-565-8882
Mailing Address - Street 1:1593 ELMORES WAY
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-4187
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1014 RILEY ST STE 5
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3264
Practice Address - Country:US
Practice Address - Phone:332-330-3903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty