Alpine County Bhs-dmc | |
40 Diamond Valley Rd Markleeville CA 96120-9512 | |
(530) 694-1816 | |
(530) 694-2387 |
Full Name | Alpine County Bhs-dmc |
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Speciality | Community/behavioral Health |
Location | 40 Diamond Valley Rd, Markleeville, California |
Authorized Official Name and Position | Stephanie Thornburg Ellis (FISCAL & ADMINISTRATIVE SUPERVISOR) |
Authorized Official Contact | 5306941816 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alpine County Bhs-dmc 40 Diamond Valley Rd Markleeville CA 96120-9512 Ph: (530) 694-1816 | Alpine County Bhs-dmc 40 Diamond Valley Rd Markleeville CA 96120-9512 Ph: (530) 694-1816 |
NPI Number | 1366079469 |
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Provider Enumeration Date | 03/26/2020 |
Last Update Date | 03/26/2020 |
Certification Date | 03/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366079469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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