| Grassroots Health A Social Purpose Corporation | |
|
743 E Tabor Ave Fairfield CA 94533-4046 | |
| (707) 247-2933 | |
| (707) 210-0480 |
| Full Name | Grassroots Health A Social Purpose Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 743 E Tabor Ave, Fairfield, California |
| Authorized Official Name and Position | Jerry Cline (FOUNDER) |
| Authorized Official Contact | 7079925809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grassroots Health A Social Purpose Corporation 732 Placer Cir Vacaville CA 95687-7882 Ph: (707) 992-5809 | Grassroots Health A Social Purpose Corporation 743 E Tabor Ave Fairfield CA 94533-4046 Ph: (707) 247-2933 |
| NPI Number | 1609594431 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 08/18/2022 |
| Medicare PECOS PAC ID | 4082050810 |
|---|---|
| Medicare Enrollment ID | O20240314002211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609594431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jerry Cline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336126374 PECOS PAC ID: 0143233411 Enrollment ID: I20240314003347 |
Gurpreet S. Dhugga Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5030 Business Center Dr, Ste 130, Fairfield, CA 94534 Phone: 707-864-1056 | |
Nuray Gercek Family Nurse Practitioner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 Tabor Ave, Fairfield, CA 94533 Phone: 415-200-9598 Fax: 800-308-6686 | |
County Of Solano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2010 Fax: 707-435-2032 | |
Humu Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1261 Travis Blvd Ste 375, Fairfield, CA 94533 Phone: 707-763-2515 | |
Sutter Regional Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Low Ct, Fairfield, CA 94534 Phone: 707-428-2731 Fax: 707-428-2740 | |
Jeannette Peterson Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1261 Travis Blvd, Suite 100, Fairfield, CA 94533 Phone: 707-422-0543 Fax: 707-422-0549 | |
County Of Solano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Beck Ave, Fairfield, CA 94533 Phone: 707-784-8400 Fax: 707-421-3207 |