| Grass Valley Clinic | |
|
1350 E Main St Grass Valley CA 95945-5208 | |
| (530) 477-8545 | |
| (530) 477-9217 |
| Full Name | Grass Valley Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1350 E Main St, Grass Valley, California |
| Authorized Official Name and Position | Sierk Haitsma (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5308872841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grass Valley Clinic 11670 Atwood Rd Auburn CA 95603-9522 Ph: (530) 887-2800 | Grass Valley Clinic 1350 E Main St Grass Valley CA 95945-5208 Ph: (530) 477-8545 |
| NPI Number | 1922138841 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 11/02/2011 |
| Medicare PECOS PAC ID | 4981688520 |
|---|---|
| Medicare Enrollment ID | O20111222000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922138841 | NPI | - | NPPES |
| THP80244F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 230000303 (California) | Primary |
Dignity Health Medical Group - Sierra Nevada, A Service Of Dignity Hea Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Sierra College Dr Ste 105, Grass Valley, CA 95945 Phone: 530-274-6727 | |
Western Sierra Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 844 Old Tunnel Rd, Grass Valley, CA 95945 Phone: 530-273-4984 Fax: 530-273-4573 | |
Tracy Hawse Np Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S Auburn St, Grass Valley, CA 95945 Phone: 530-613-1284 Fax: 866-247-1585 | |
Dana Marie Lewis, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10052 Alta Sierra Dr, Suite A, Grass Valley, CA 95949 Phone: 530-477-9100 Fax: 530-477-2033 | |
Regents Ucdmg Auburn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10044 Wolf Rd, #a, Grass Valley, CA 95949 Phone: 530-268-9050 | |
Western Sierra Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Glasson Way, Grass Valley, CA 95945 Phone: 530-273-4984 Fax: 530-273-4573 | |
Newsom & Fitzpatrick Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Catherine Ln, Suite G, Grass Valley, CA 95945 Phone: 530-271-2225 Fax: 530-271-7245 |