Provider Demographics
NPI:1730237116
Name:CHICO FEMINIST WOMEN'S HEALTH CENTER
Entity type:Organization
Organization Name:CHICO FEMINIST WOMEN'S HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-592-3325
Mailing Address - Street 1:1442 ETHAN WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-2231
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1469 HUMBOLDT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-9203
Practice Address - Country:US
Practice Address - Phone:530-891-1917
Practice Address - Fax:530-893-9347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QC1500X
261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACMM70268FMedicaid
CAZZR11629FMedicaid
CACMM70116GMedicaid
CACMM70370FMedicaid