<unavail> in Willits, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Willits, California. The current practice location for is 45 Hazel St, Willits, California. For appointments, you can reach them via phone at (707) 456-9600. The mailing address for is 333 Laws Ave, Ukiah, California and phone number is (707) 468-1010.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1922020585. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (707) 456-9600.

Contact Information


	45 Hazel St Willits CA 95490
	(707) 456-9600
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	45 Hazel St, Willits, California
Authorized Official Name and Position	Tim Dolan (CFO)
Authorized Official Contact	7074672260
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
333 Laws Ave Ukiah CA 95482-6540 Ph: (707) 468-1010	45 Hazel St Willits CA 95490 Ph: (707) 456-9600

NPI Details:

NPI Number	1922020585
Provider Enumeration Date	07/24/2006
Last Update Date	05/03/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	6305755455
Medicare Enrollment ID	O20030331000024

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922020585	NPI	-	NPPES
HAP70968F	Other	CA	FAMILYPACT
FHC70968F	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	110000500 (California)	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Willits, CA

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 Marcela Dr, Willits, CA 95490 Phone: 707-459-6115 Fax: 707-459-1345
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Marcela Dr, Willits, CA 95490 Phone: 707-459-6115 Fax: 707-459-1345
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1245 S Main St, Willits, CA 95490 Phone: 707-459-6861 Fax: 707-459-3057

- Medicare Primary Care in Willits, CA