Provider Demographics
NPI:1861906455
Name:PALATNIK SMITH HEALTH CARE CORP
Entity type:Organization
Organization Name:PALATNIK SMITH HEALTH CARE CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:916-334-1100
Mailing Address - Street 1:5255 ELKHORN BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95842-2506
Mailing Address - Country:US
Mailing Address - Phone:916-334-1100
Mailing Address - Fax:916-334-1105
Practice Address - Street 1:5255 ELKHORN BLVD STE C
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95842
Practice Address - Country:US
Practice Address - Phone:916-334-1100
Practice Address - Fax:916-334-1105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-20
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care