| Gravenstein Community Health Center | |
|
652 Petaluma Ave Sebastopol CA 95472-4256 | |
| (707) 869-5977 | |
| (707) 869-5976 |
| Full Name | Gravenstein Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 652 Petaluma Ave, Sebastopol, California |
| Authorized Official Name and Position | Mary E Szecsey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7078691594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gravenstein Community Health Center Po Box 1449 Guerneville CA 95446-1449 Ph: (707) 869-5977 | Gravenstein Community Health Center 652 Petaluma Ave Sebastopol CA 95472-4256 Ph: (707) 869-5977 |
| NPI Number | 1861809501 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 12/04/2014 |
| Medicare PECOS PAC ID | 6800782277 |
|---|---|
| Medicare Enrollment ID | O20140813001644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861809501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Peter V. Madill, M.d. A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1020 Gravenstein Hwy. So., Suite 120, Sebastopol, CA 95472 Phone: 707-823-3312 Fax: 707-823-4901 | |
Prima Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 652 Petaluma Ave, Suite H, Sebastopol, CA 95472 Phone: 707-823-7616 Fax: 707-823-2803 | |
Bohemian Concierge Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Petaluma Ave Ste B, Sebastopol, CA 95472 Phone: 707-239-9257 | |
Compassionate Concierge Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Petaluma Ave Ste B1, Sebastopol, CA 95472 Phone: 707-694-2390 | |
Sutter Medical Group Of The Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 652 Petaluma Ave, Suite F, Sebastopol, CA 95472 Phone: 707-823-2334 Fax: 707-823-3007 | |
Sebastopol Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6800 Palm Ave, Suite C2, Sebastopol, CA 95472 Phone: 707-824-9999 Fax: 707-824-9335 | |
Embodied Wisdom Osteopathy Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7064 Corline Ct Ste C1, Sebastopol, CA 95472 Phone: 707-339-8018 |