| Canby Family Practice Clinic | |
|
670 County Road 83 Canby CA 96015-9722 | |
| (530) 233-4641 | |
| (530) 233-2830 |
| Full Name | Canby Family Practice Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 670 County Road 83, Canby, California |
| Authorized Official Name and Position | Kevin Scott Kramer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5307088801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canby Family Practice Clinic Po Box 190 Alturas CA 96101-0190 Ph: (530) 708-8801 | Canby Family Practice Clinic 670 County Road 83 Canby CA 96015-9722 Ph: (530) 233-4641 |
| NPI Number | 1376164749 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 12/28/2022 |
| Medicare PECOS PAC ID | 2466447412 |
|---|---|
| Medicare Enrollment ID | O20200622000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376164749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lake Wound Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 670 County Rd 83, Canby, CA 96015 Phone: 541-947-7299 Fax: 541-947-3339 | |
Canby Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 670 County Road 83, Canby, CA 96015 Phone: 530-233-4641 Fax: 530-233-4140 |