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5176 Hill Rd E Modular Building Lakeport CA 95453-6300 | |
(707) 262-5088 | |
(707) 262-5135 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 5176 Hill Rd E, Lakeport, California |
Authorized Official Name and Position | John Gates (CFO) |
Authorized Official Contact | 4156007771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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633 Folsom St 7th Floor San Francisco CA 94107-3600 Ph: (415) 600-7735 | 5176 Hill Rd E Modular Building Lakeport CA 95453-6300 Ph: (707) 262-5088 |
NPI Number | 1831597517 |
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Provider Enumeration Date | 12/12/2014 |
Last Update Date | 01/20/2022 |
Identifier | Type | State | Issuer |
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1831597517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Northern California Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 1st St, Ste 210, Lakeport, CA 95453 Phone: 707-462-1516 Fax: 707-462-1178 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 11th St, Lakeport, CA 95453 Phone: 707-263-3746 | |
Northern California Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844 | |