| Colusa Indian Community Council | |
|
3710 Highway 45 Colusa CA 95932 | |
| (530) 458-5501 | |
| (530) 458-8660 |
| Full Name | Colusa Indian Community Council |
|---|---|
| Speciality | Clinic/Center |
| Location | 3710 Highway 45, Colusa, California |
| Authorized Official Name and Position | Catrina Marie Ross (DIRECTOR OF CLINIC OPERATIONS) |
| Authorized Official Contact | 5304586542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colusa Indian Community Council 3710 Highway 45 Colusa CA 95932 Ph: (530) 458-5501 | Colusa Indian Community Council 3710 Highway 45 Colusa CA 95932 Ph: (530) 458-5501 |
| NPI Number | 1790778660 |
|---|---|
| Provider Enumeration Date | 08/25/2005 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 1951211069 |
|---|---|
| Medicare Enrollment ID | O20101220000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790778660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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Stonyford Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 E Webster Street, Colusa, CA 95932 Phone: 530-458-5821 Fax: 530-458-3210 | |
Colusa Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 199 E Webster St, Colusa, CA 95932 Phone: 530-458-1808 | |
Regents/ucdmg/colusa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 E Webster St, Colusa, CA 95932 Phone: 530-458-4250 |