| Bmhcc - Family Planning Clinic | |
|
2201 South Ave South Lake Tahoe CA 96150-7025 | |
| (530) 543-5623 | |
| Not Available |
| Full Name | Bmhcc - Family Planning Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2201 South Ave, South Lake Tahoe, California |
| Authorized Official Name and Position | Richard Paul Derby (CFO) |
| Authorized Official Contact | 5305435844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmhcc - Family Planning Clinic 1111 Emerald Bay Rd South Lake Tahoe CA 96150-6207 Ph: (530) 543-5979 | Bmhcc - Family Planning Clinic 2201 South Ave South Lake Tahoe CA 96150-7025 Ph: (530) 543-5623 |
| NPI Number | 1457659807 |
|---|---|
| Provider Enumeration Date | 03/09/2011 |
| Last Update Date | 03/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457659807 | NPI | - | NPPES |
| 1053310326 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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