| Mark Freeman, Md | |
|
15322 Lakeshore Dr Suite 101 Clearlake CA 95422-9814 | |
| (707) 995-1362 | |
| (707) 995-7057 |
| Full Name | Mark Freeman, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 15322 Lakeshore Dr, Clearlake, California |
| Authorized Official Name and Position | Mark Freeman (CEO) |
| Authorized Official Contact | 7079951362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Freeman, Md 15322 Lakeshore Dr Suite 101 Clearlake CA 95422-9814 Ph: (707) 995-1362 | Mark Freeman, Md 15322 Lakeshore Dr Suite 101 Clearlake CA 95422-9814 Ph: (707) 995-1362 |
| NPI Number | 1356426910 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 04/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356426910 | NPI | - | NPPES |
| 00G476880 | Medicaid | CA | |
| 080150278 | Other | MEDICARE RAILROAD # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G47688 (California) | Primary |
St. Helena Family Practice Clearlake Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15322 Lakeshore Dr, Suite 202, Clearlake, CA 95422 Phone: 707-994-0305 | |
Lake County Tribal Health Southshore Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14440 Olympic Drive, Clearlake, CA 95422 Phone: 707-263-8382 Fax: 707-263-5019 | |
Adventist Health Clearlake Hospital, Inc-middletown Family Health Cent Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18th Ave And Highway 53, Clearlake, CA 95422 Phone: 707-987-3311 Fax: 707-987-2455 | |
Family Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15322 Lakeshore Dr, Ste. 201, Clearlake, CA 95422 Phone: 707-994-2920 Fax: 707-994-2917 | |
Marc R Shapiro Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Emerson St, Suite A, Clearlake, CA 95422 Phone: 707-994-7241 Fax: 707-994-0870 | |
Lake County Tribal Health Consortium, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14678 Lakeshore Boulevard, Clearlake, CA 95453 Phone: 707-262-8382 | |
Adventist Health Clear Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Drive, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-2401 |