Peach Tree Clinic | |
5730 Packard Ave Suite 500 Marysville CA 95901-7118 | |
(530) 749-3242 | |
(530) 749-3238 |
Full Name | Peach Tree Clinic |
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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 |
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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 |
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Provider Enumeration Date | 05/28/2006 |
Last Update Date | 05/23/2022 |
Certification Date | 05/23/2022 |
Medicare PECOS PAC ID | 7416978440 |
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Medicare Enrollment ID | O20061011000714 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003863622 | NPI | - | NPPES |
FHC11619G | Medicaid | CA |
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