N.m. Holderman Memorial Hospital | |
100 California Dr Yountville CA 94599-1411 | |
(707) 944-4622 | |
(707) 948-3319 |
Full Name | N.m. Holderman Memorial Hospital |
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Speciality | Clinic/center - Dental |
Location | 100 California Dr, Yountville, California |
Authorized Official Name and Position | Donald L. Veverka (ADMINISTRATOR) |
Authorized Official Contact | 7079444501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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N.m. Holderman Memorial Hospital Po Box 942895 Sacramento CA 94295-0001 Ph: (916) 653-0080 | N.m. Holderman Memorial Hospital 100 California Dr Yountville CA 94599-1411 Ph: (707) 944-4622 |
NPI Number | 1609011618 |
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Provider Enumeration Date | 12/04/2008 |
Last Update Date | 09/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609011618 | NPI | - | NPPES |
524627 | Other | CA | DENTI-CAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 15000494 (California) | Primary |