| Dignity Health Lassen Medical Clinic-cottonwood | |
|
20833 Long Branch Dr Cottonwood CA 96022-8701 | |
| (530) 347-3418 | |
| (530) 528-4423 |
| Full Name | Dignity Health Lassen Medical Clinic-cottonwood |
|---|---|
| Speciality | Clinic/Center |
| Location | 20833 Long Branch Dr, Cottonwood, California |
| Authorized Official Name and Position | Kim Miranda (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5302256121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Health Lassen Medical Clinic-cottonwood 2450 Sister Mary Columba Dr Red Bluff CA 96080-4356 Ph: (530) 527-0414 | Dignity Health Lassen Medical Clinic-cottonwood 20833 Long Branch Dr Cottonwood CA 96022-8701 Ph: (530) 347-3418 |
| NPI Number | 1235672403 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 01/05/2017 |
| Medicare PECOS PAC ID | 2062320559 |
|---|---|
| Medicare Enrollment ID | O20170531000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235672403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cottonwood Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20633 Gas Point Rd, Cottonwood, CA 96022 Phone: 530-347-4867 Fax: 530-347-5670 | |
Lassen Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20833 Long Branch Dr, Cottonwood, CA 96022 Phone: 530-347-3418 |