Coarsegold Creek Medical Center is a medicare enrolled primary clinic (General Practice) in Coarsegold, California. The current practice location for Coarsegold Creek Medical Center is 35463 Highway 41, Coarsegold, California. For appointments, you can reach them via phone at
(559) 683-6292. The mailing address for Coarsegold Creek Medical Center is Po Box 970, Coarsegold, California and phone number is (559) 683-6292.
Coarsegold Creek Medical Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1629646161. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(559) 683-6292.
Primary Care Clinic Profile
| Full Name | Coarsegold Creek Medical Center |
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| Speciality | General Practice |
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| Location | 35463 Highway 41, Coarsegold, California |
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| Authorized Official Name and Position | Stephen Dahlin (OWNER) |
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| Authorized Official Contact | 5596836292 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Coarsegold Creek Medical Center
Po Box 970
Coarsegold
CA 93614-0970
Ph: (559) 683-6292 | Coarsegold Creek Medical Center
35463 Highway 41
Coarsegold
CA 93614-8722
Ph: (559) 683-6292 |
NPI Details:
| NPI Number | 1629646161 |
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| Provider Enumeration Date | 06/11/2021 |
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| Last Update Date | 06/11/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9032514773 |
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| Medicare Enrollment ID | O20210818004061 |
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Medical Identifiers
Medical identifiers for Coarsegold Creek Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629646161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Coarsegold Creek Medical Center acts as a billing entity for following providers:
| Provider Name | Hannah Fouch |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1477224152
PECOS PAC ID: 0446632632
Enrollment ID: I20220804001927 |
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