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2780 E Gibson Rd Woodland CA 95776-5147 | |
(530) 406-5133 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2780 E Gibson Rd, Woodland, California |
Authorized Official Name and Position | Rose Macisaac (CFO) |
Authorized Official Contact | 7607676435 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1260 Davis CA 95617-1260 Ph: (530) 753-3498 | 2780 E Gibson Rd Woodland CA 95776-5147 Ph: (530) 406-5133 |
NPI Number | 1649645185 |
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Provider Enumeration Date | 12/09/2015 |
Last Update Date | 10/09/2023 |
Identifier | Type | State | Issuer |
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1649645185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550002588 (California) | Primary |
Molina Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Court St, Woodland, CA 95695 Phone: 530-668-9293 Fax: 530-668-0231 | |
Northern Valley Indian Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 E Gibson Rd, Woodland, CA 95776 Phone: 530-207-5499 | |