Baechtel Creek Medical Clinic | |
1245 S Main St Willits CA 95490-4305 | |
(707) 459-6861 | |
(707) 459-3057 |
Full Name | Baechtel Creek Medical Clinic |
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Speciality | Clinic/Center |
Location | 1245 S Main St, Willits, California |
Authorized Official Name and Position | Donald Mills Matheson (MANAGING PARTNER) |
Authorized Official Contact | 7074596861 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Baechtel Creek Medical Clinic 1245 S Main St Willits CA 95490-4305 Ph: (707) 459-6861 | Baechtel Creek Medical Clinic 1245 S Main St Willits CA 95490-4305 Ph: (707) 459-6861 |
NPI Number | 1568525400 |
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Provider Enumeration Date | 12/19/2006 |
Last Update Date | 12/15/2010 |
Medicare PECOS PAC ID | 0547458200 |
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Medicare Enrollment ID | O20101221001117 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568525400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 053968 (California) | Primary |
Provider Name | Carla P Longchamp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972544948 PECOS PAC ID: 8729003942 Enrollment ID: I20051006000906 |
Provider Name | Elizabeth Joan Whipkey Olson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306870605 PECOS PAC ID: 4981607470 Enrollment ID: I20060823000490 |
Provider Name | Glenn T Rogers |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821091133 PECOS PAC ID: 2062565369 Enrollment ID: I20090804000723 |
Provider Name | Angus D Matheson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053381939 PECOS PAC ID: 1850587312 Enrollment ID: I20101123000268 |
Provider Name | Donald Mills Matheson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629060900 PECOS PAC ID: 1052509718 Enrollment ID: I20110107000304 |
Provider Name | Lisa W Mccurley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326391624 PECOS PAC ID: 3173746286 Enrollment ID: I20150818003618 |
Provider Name | Miriam I Harris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033476452 PECOS PAC ID: 8729398896 Enrollment ID: I20151103000717 |
Adventist Health Howard Memorial Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 Marcela Dr, Willits, CA 95490 Phone: 707-459-6115 Fax: 707-459-1345 | |
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 | |
Little Lake Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 Hazel St, Willits, CA 95490 Phone: 707-456-9600 |