| Peach Tree Clinic | |
|
5730 Packard Ave Suite 500 Marysville CA 95901-7118 | |
| (530) 749-3242 | |
| (530) 749-3238 |
| Full Name | Peach Tree Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5730 Packard Ave, Marysville, California |
| Authorized Official Name and Position | Greg Stone (CEO) |
| Authorized Official Contact | 5307416245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Tree Clinic 1114 Yuba St Ste 220 Marysville CA 95901-4838 Ph: (530) 749-3242 | Peach Tree Clinic 5730 Packard Ave Suite 500 Marysville CA 95901-7118 Ph: (530) 749-3242 |
| NPI Number | 1003863622 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/23/2022 |
| Medicare PECOS PAC ID | 7416978440 |
|---|---|
| Medicare Enrollment ID | O20061011000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003863622 | NPI | - | NPPES |
| FHC11619G | Medicaid | CA |
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