| Heritage Health Center Inc | |
|
820 E State Highway 88 Jackson CA 95642-2134 | |
| (209) 223-7040 | |
| (209) 223-7606 |
| Full Name | Heritage Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 820 E State Highway 88, Jackson, California |
| Authorized Official Name and Position | Gary Johnson (CEO) |
| Authorized Official Contact | 2092237040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Health Center Inc 820 E State Highway 88 Jackson CA 95642-2134 Ph: (209) 223-7040 | Heritage Health Center Inc 820 E State Highway 88 Jackson CA 95642-2134 Ph: (209) 223-7040 |
| NPI Number | 1801666235 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 02/07/2024 |
| Medicare PECOS PAC ID | 3577908029 |
|---|---|
| Medicare Enrollment ID | O20240223003698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801666235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Gary R Johnson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114013513 PECOS PAC ID: 3971540162 Enrollment ID: I20050411000674 |
| Provider Name | Cassandra Lee King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053185686 PECOS PAC ID: 0345685426 Enrollment ID: I20240228002613 |
Helene Malabed, Do & Terrence C. Turpen, Pa-c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Court St. Suite 210, Jackson, CA 95642 Phone: 209-223-7784 Fax: 209-223-7783 | |
Mact Medical Jackson Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12140/12150 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2400 Fax: 209-257-2403 | |
Jackson Rancheria Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12222 New York Ranch Rd, Jackson, CA 95642 Phone: 209-223-8428 Fax: 209-223-8429 | |
Amador Family Physicians Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 New York Ranch Rd, Jackson, CA 95642 Phone: 209-223-2030 Fax: 209-223-2303 | |
Thomas Bowhay, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Jackson Gate Rd, Jackson, CA 95642 Phone: 209-223-7040 Fax: 209-223-7606 | |
Anant Lodhia Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Court St Ste 210, Jackson, CA 95642 Phone: 209-223-7784 Fax: 209-223-7783 | |
Hospitalist Medicine Physicians Of California - Jackson, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Mission Blvd, Jackson, CA 95642 Phone: 209-223-7500 |