| Lassen Medical Group Inc | |
|
20833 Long Branch Dr Cottonwood CA 96022-8701 | |
| (530) 347-3418 | |
| Not Available |
| Full Name | Lassen Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 20833 Long Branch Dr, Cottonwood, California |
| Authorized Official Name and Position | Kim Hake (MANAGER) |
| Authorized Official Contact | 5305284419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lassen Medical Group Inc 2450 Sister Mary Columba Drive Red Bluff CA 96080 Ph: (530) 347-3418 | Lassen Medical Group Inc 20833 Long Branch Dr Cottonwood CA 96022-8701 Ph: (530) 347-3418 |
| NPI Number | 1689713505 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 12/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689713505 | NPI | - | NPPES |
| GR0089252 | Medicaid | CA | |
| RHM53957F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Dignity Health Lassen Medical Clinic-cottonwood Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20833 Long Branch Dr, Cottonwood, CA 96022 Phone: 530-347-3418 Fax: 530-528-4423 | |
Cottonwood Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20633 Gas Point Rd, Cottonwood, CA 96022 Phone: 530-347-4867 Fax: 530-347-5670 |