Neeley Clinical Services Inc | |
347 Lakeport Blvd Lakeport CA 95453-5412 | |
(707) 263-1328 | |
(707) 263-0864 |
Full Name | Neeley Clinical Services Inc |
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Speciality | Clinic/Center |
Location | 347 Lakeport Blvd, Lakeport, California |
Authorized Official Name and Position | Robert D Neeley (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7072631328 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neeley Clinical Services Inc 347 Lakeport Blvd Lakeport CA 95453-5412 Ph: (707) 263-1328 | Neeley Clinical Services Inc 347 Lakeport Blvd Lakeport CA 95453-5412 Ph: (707) 263-1328 |
NPI Number | 1952048514 |
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Provider Enumeration Date | 05/16/2022 |
Last Update Date | 07/18/2022 |
Medicare PECOS PAC ID | 2163808361 |
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Medicare Enrollment ID | O20220926000766 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952048514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Provider Name | Laura Purdy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200403001862 |
Upper Lake Clinic Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5001 Fax: 707-262-5006 | |
Sutter Lakeside Hospital Mobile Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5000 Fax: 707-262-5005 | |
Northern California Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 1st St, Ste 210, Lakeport, CA 95453 Phone: 707-462-1516 Fax: 707-462-1178 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 11th St, Lakeport, CA 95453 Phone: 707-263-3746 | |
Tribal Health Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 359 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-533-2700 Fax: 707-263-5400 | |
Northern California Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844 | |
Sutter Bay Hospitals Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5196 Hill Rd E, Suite 300, Lakeport, CA 95453 Phone: 707-263-6885 Fax: 707-263-6624 |