| |
2965 East St Anderson CA 96007-3481 | |
(530) 378-0486 | |
(530) 241-7838 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2965 East St, Anderson, California |
Authorized Official Name and Position | Jeffery Brandon Thornock (CEO) |
Authorized Official Contact | 5302295074 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 992790 Redding CA 96099-2790 Ph: (530) 378-0486 | 2965 East St Anderson CA 96007-3481 Ph: (530) 378-0486 |
NPI Number | 1942225719 |
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Provider Enumeration Date | 07/13/2006 |
Last Update Date | 10/16/2024 |
Medicare PECOS PAC ID | 3870579816 |
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Medicare Enrollment ID | O20100719000493 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942225719 | NPI | - | NPPES |
FHC70765F | Other | CA | SCHC-ANDY MEDI-CAL NUMBER |
William M. Reuss Iii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1930 Barney Rd, Anderson, CA 96007 Phone: 530-365-4581 Fax: 530-365-4871 |