| Glenn Medical Center | |
|
1133 W. Sycamore Street Willows CA 95988-2601 | |
| (530) 934-1800 | |
| (530) 934-1865 |
| Full Name | Glenn Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1133 W. Sycamore Street, Willows, California |
| Authorized Official Name and Position | Tammy Thompson (CFO/VP FINANCE) |
| Authorized Official Contact | 2092876308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Medical Center 1133 W. Sycamore Street Willows CA 95988-2601 Ph: (530) 934-1800 | Glenn Medical Center 1133 W. Sycamore Street Willows CA 95988-2601 Ph: (530) 934-1800 |
| NPI Number | 1619929759 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 11/02/2022 |
| Medicare PECOS PAC ID | 4486050838 |
|---|---|
| Medicare Enrollment ID | O20210909002556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619929759 | NPI | - | NPPES |
| RHM13981H | Medicaid | CA | |
| RHM08572G | Medicaid | CA | |
| HSP30092J | Medicaid | CA | |
| HSP40092J | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 23000001 (California) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 23000001 (California) | Primary |
| Provider Name | Lionel S Foster |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104833375 PECOS PAC ID: 1355302456 Enrollment ID: I20041021001066 |
| Provider Name | Joel I Barthelow |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013974625 PECOS PAC ID: 7618974064 Enrollment ID: I20061027000476 |
| Provider Name | Lawrence M Highman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316992068 PECOS PAC ID: 9931278538 Enrollment ID: I20080522000364 |
| Provider Name | Timothy W Robertson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255365300 PECOS PAC ID: 6507058823 Enrollment ID: I20101005001154 |
| Provider Name | Denise J Gontiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134561814 PECOS PAC ID: 9537398425 Enrollment ID: I20140219001573 |
| Provider Name | Philip M Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952351876 PECOS PAC ID: 2567475890 Enrollment ID: I20150519002840 |
| Provider Name | Amy C Micheli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003287608 PECOS PAC ID: 4385952472 Enrollment ID: I20151009002348 |
| Provider Name | Chelsea Mccutcheon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700362431 PECOS PAC ID: 4981953403 Enrollment ID: I20180816002226 |
| Provider Name | Benet E Guidera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881927820 PECOS PAC ID: 3476904715 Enrollment ID: I20240110004781 |
Glenn Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 W Sycamore St, Willows, CA 95988 Phone: 530-934-1800 | |
Willows Firstcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 W Sycamore St, Willows, CA 95988 Phone: 530-934-3385 Fax: 530-934-3387 | |
Glenn Medical Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 W Sycamore St, Willows, CA 95988 Phone: 530-934-1800 | |
Northern Valley Indian Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 N Butte St, Willows, CA 95988 Phone: 530-934-9293 Fax: 530-934-2204 | |
Glenn Medical Center Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 W Sycamore St, Willows, CA 95988 Phone: 530-934-1800 | |
Glenn Family Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 N Enright Ave, Willows, CA 95988 Phone: 530-934-1800 Fax: 530-934-1818 | |
Family Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1133 W Sycamore St, Willows, CA 95988 Phone: 530-934-1800 Fax: 530-934-1818 |