Northern Inyo Hospital Rural Health Clinic | |
153 Pioneer Ln Bishop CA 93514-2557 | |
(760) 873-2849 | |
(760) 872-5800 |
Full Name | Northern Inyo Hospital Rural Health Clinic |
---|---|
Speciality | Clinic/Center |
Location | 153 Pioneer Ln, Bishop, California |
Authorized Official Name and Position | Stephen Craig Delrossi (CEO) |
Authorized Official Contact | 7608732109 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Northern Inyo Hospital Rural Health Clinic 150 Pioneer Ln Bishop CA 93514-2556 Ph: (760) 873-5811 | Northern Inyo Hospital Rural Health Clinic 153 Pioneer Ln Bishop CA 93514-2557 Ph: (760) 873-2849 |
NPI Number | 1417032921 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 08/27/2024 |
Medicare PECOS PAC ID | 8921992090 |
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Medicare Enrollment ID | O20100325000659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417032921 | NPI | - | NPPES |
ZZZ02705Z | Other | CA | BLUE SHIELD PROVIDER # |
BCP08578F | Medicaid | CA | |
058578 | Medicaid | CA | |
RHM08578F | Medicaid | CA | |
001589200 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 240000179 (California) | Primary |
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