Alpine County | |
75 Diamond Valley Rd Unit C Markleeville CA 96120-9532 | |
(530) 694-1816 | |
Not Available |
Full Name | Alpine County |
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Speciality | Community/behavioral Health |
Location | 75 Diamond Valley Rd, Markleeville, California |
Authorized Official Name and Position | Pamela Knorr (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 5306942287 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alpine County Po Box 217 Markleeville CA 96120-0217 Ph: (530) 694-2287 | Alpine County 75 Diamond Valley Rd Unit C Markleeville CA 96120-9532 Ph: (530) 694-1816 |
NPI Number | 1659690857 |
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Provider Enumeration Date | 05/27/2010 |
Last Update Date | 03/24/2020 |
Certification Date | 03/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659690857 | NPI | - | NPPES |
000000226 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (California) | Primary |
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