Granite Wellness Centers | |
8491 North Lake Blvd. Kings Beach CA 96143 | |
(530) 546-5641 | |
(530) 546-5480 |
Full Name | Granite Wellness Centers |
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Speciality | Community/behavioral Health |
Location | 8491 North Lake Blvd., Kings Beach, California |
Authorized Official Name and Position | Karyn Rubick (ADMINISTRATIVE ASSOCIATE) |
Authorized Official Contact | 5308785166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Granite Wellness Centers Po Box 6028 Auburn CA 95604-6028 Ph: (530) 878-5166 | Granite Wellness Centers 8491 North Lake Blvd. Kings Beach CA 96143 Ph: (530) 546-5641 |
NPI Number | 1912277864 |
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Provider Enumeration Date | 01/10/2012 |
Last Update Date | 09/22/2022 |
Certification Date | 09/22/2022 |
Identifier | Type | State | Issuer |
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1912277864 | NPI | - | NPPES |
31AC | Other | CA | DRUG MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |