Fairchild Medical Group | |
475 Bruce St Ste 500 Yreka CA 96097-3463 | |
(530) 842-3507 | |
Not Available |
Full Name | Fairchild Medical Group |
---|---|
Speciality | Family Medicine |
Location | 475 Bruce St Ste 500, Yreka, California |
Authorized Official Name and Position | Steven Maron (PRESIDENT) |
Authorized Official Contact | 5104369000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fairchild Medical Group 2107 Livingston St Suite A Oakland CA 94606-5218 Ph: (510) 436-9000 | Fairchild Medical Group 475 Bruce St Ste 500 Yreka CA 96097-3463 Ph: (530) 842-3507 |
NPI Number | 1063588895 |
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Provider Enumeration Date | 11/24/2006 |
Last Update Date | 03/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063588895 | NPI | - | NPPES |
GR0089870 | Medicaid | CA | |
ZZZ03208Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
RHM53972F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Premier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 Bruce St, Yreka, CA 96097 Phone: 702-453-3799 Fax: 702-453-5741 | |
All Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 4th St, Yreka, CA 96097 Phone: 530-842-9184 Fax: 530-842-9084 | |
Stephen Kolpacoff Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Oberlin Road, Yreka, CA 96097 Phone: 530-842-4445 Fax: 530-842-9054 | |
Yreka Pharmacy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 748 S Main St, Yreka, CA 96097 Phone: 530-698-0990 | |
Yreka Chiropractic Dr J C Morris Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Main St Ste 2, Yreka, CA 96097 Phone: 530-340-2399 Fax: 530-351-0038 | |
Siskiyou Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Main St, Yreka, CA 96097 Phone: 530-842-0817 Fax: 530-842-3597 |