| Mad River Community Hospital | |
|
3800 Janes Rd Arcata CA 95521-4742 | |
| (707) 822-3621 | |
| Not Available |
| Full Name | Mad River Community Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 3800 Janes Rd, Arcata, California |
| Authorized Official Name and Position | Douglas Allen Shaw (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7078227220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mad River Community Hospital Po Box 1115 Arcata CA 95518-1115 Ph: (707) 822-3621 | Mad River Community Hospital 3800 Janes Rd Arcata CA 95521-4742 Ph: (707) 822-3621 |
| NPI Number | 1609979707 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 09/20/2019 |
| Medicare PECOS PAC ID | 1052305331 |
|---|---|
| Medicare Enrollment ID | O20041209000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609979707 | NPI | - | NPPES |
| 1609979707 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | PENDING (* (Not Available)) | Primary |
| Provider Name | Thomas H Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942244967 PECOS PAC ID: 5193613776 Enrollment ID: I20040305000714 |
| Provider Name | Andrew H Hooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053404525 PECOS PAC ID: 9436191640 Enrollment ID: I20050527000420 |
| Provider Name | Charmaine Marie Mosher Carbiener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932433950 PECOS PAC ID: 4284677543 Enrollment ID: I20050607001083 |
| Provider Name | Christopher E Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821032962 PECOS PAC ID: 6800892308 Enrollment ID: I20061005000425 |
| Provider Name | Kim S Ervin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851331946 PECOS PAC ID: 9436198124 Enrollment ID: I20090901000158 |
| Provider Name | Alison M Palacios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265708424 PECOS PAC ID: 7911154190 Enrollment ID: I20120822000676 |
| Provider Name | Emma Hackett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942542816 PECOS PAC ID: 2769755743 Enrollment ID: I20170913003543 |
| Provider Name | Kimberly Ann Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013338698 PECOS PAC ID: 1951655976 Enrollment ID: I20181109002844 |
| Provider Name | Laura Elizabeth Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255781340 PECOS PAC ID: 9133464449 Enrollment ID: I20181214000489 |
North Pacific Cardiology Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3800 Janes Rd, Arcata, CA 95521 Phone: 707-822-3621 | |
Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Harpst St, Building 42, Arcata, CA 95521 Phone: 707-826-5019 Fax: 707-826-5042 | |
O L Puttler Jr Md A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3798 Janes Rd, Suite 15, Arcata, CA 95521 Phone: 707-822-1131 Fax: 707-822-0746 | |
Pine Mountain Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 10th St, Arcata, CA 95521 Phone: 707-826-8633 | |
Christopher E Lee, Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3798 Janes Rd Ste 18, Arcata, CA 95521 Phone: 707-822-0384 Fax: 707-822-4429 | |
Full Circle Center For Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4641 Valley East Blvd # 2, Arcata, CA 95521 Phone: 707-840-4701 Fax: 855-420-6321 | |
Northcoast Internal Medicine, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3798 Janes Rd, Suite 6, Arcata, CA 95521 Phone: 707-826-2210 |