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3 Marcela Dr Willits CA 95490-5769 | |
(707) 459-6115 | |
(707) 459-1345 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3 Marcela Dr, Willits, California |
Authorized Official Name and Position | Judson Howe (PRESIDENT) |
Authorized Official Contact | 7074563010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 888828 Los Angeles CA 90088-8828 Ph: (707) 459-6115 | 3 Marcela Dr Willits CA 95490-5769 Ph: (707) 459-6115 |
NPI Number | 1437551652 |
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Provider Enumeration Date | 09/18/2014 |
Last Update Date | 03/28/2023 |
Medicare PECOS PAC ID | 7416940697 |
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Medicare Enrollment ID | O20141209001732 |
Identifier | Type | State | Issuer |
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1437551652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (California) | Primary |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Marcela Dr, Willits, CA 95490 Phone: 707-459-6115 Fax: 707-459-1345 | |