| Fortuna Clinic | |
|
3306 Renner Dr Fortuna CA 95540-3120 | |
| (707) 268-2990 | |
| Not Available |
| Full Name | Fortuna Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3306 Renner Dr, Fortuna, California |
| Authorized Official Name and Position | Emi Botzler-rogers (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 7072682990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortuna Clinic 720 Wood St Eureka CA 95501-4413 Ph: (707) 268-2990 | Fortuna Clinic 3306 Renner Dr Fortuna CA 95540-3120 Ph: (707) 268-2990 |
| NPI Number | 1669093712 |
|---|---|
| Provider Enumeration Date | 04/29/2020 |
| Last Update Date | 04/29/2020 |
| Certification Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669093712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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