Divide Wellness Center is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Georgetown, California. The current practice location for Divide Wellness Center is 6065 State Hwy 193, Georgetown, California. For appointments, you can reach them via phone at
(530) 333-2555. The mailing address for Divide Wellness Center is Po Box 45680, San Fransisco, California and phone number is (530) 333-2555.
Divide Wellness Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1346226693. 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
(530) 333-2555.
Primary Care Clinic Profile
| Full Name | Divide Wellness Center |
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| Speciality | Clinic/Center |
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| Location | 6065 State Hwy 193, Georgetown, California |
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| Authorized Official Name and Position | Laurie Eldridge (CHIEF FINANCIAL OFFICER) |
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| Authorized Official Contact | 5306262780 |
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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 |
|---|
Divide Wellness Center
Po Box 45680
San Fransisco
CA 94145-0680
Ph: (530) 333-2555 | Divide Wellness Center
6065 State Hwy 193
Georgetown
CA 95634-9623
Ph: (530) 333-2555 |
NPI Details:
| NPI Number | 1346226693 |
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| Provider Enumeration Date | 12/19/2005 |
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| Last Update Date | 09/08/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7517875859 |
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| Medicare Enrollment ID | O20090729000462 |
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Medical Identifiers
Medical identifiers for Divide Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346226693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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