| Lucerne Community Clinic | |
|
6300 E. Hwy 20 Lucerne CA 95458 | |
| (707) 274-9299 | |
| (707) 274-9297 |
| Full Name | Lucerne Community Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 6300 E. Hwy 20, Lucerne, California |
| Authorized Official Name and Position | Robert William Gardner (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7072749299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucerne Community Clinic Po Box 1978 Lucerne CA 95458-1978 Ph: (707) 274-9299 | Lucerne Community Clinic 6300 E. Hwy 20 Lucerne CA 95458 Ph: (707) 274-9299 |
| NPI Number | 1376609198 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376609198 | NPI | - | NPPES |
| RHM53967F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Adventist Health Clear Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6300 E. Highway 20, Lucerne, CA 95458 Phone: 707-274-9299 |