Northern Valley Indian Health Inc | |
207 N Butte St Willows CA 95988-2803 | |
(530) 934-9293 | |
(530) 934-2204 |
Full Name | Northern Valley Indian Health Inc |
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Speciality | Clinic/Center |
Location | 207 N Butte St, Willows, California |
Authorized Official Name and Position | Larissa Tamble (FISCAL MANGAGEMENT DIRECTOR) |
Authorized Official Contact | 5309349293 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northern Valley Indian Health Inc 207 N Butte St Willows CA 95988-2803 Ph: (530) 934-9293 | Northern Valley Indian Health Inc 207 N Butte St Willows CA 95988-2803 Ph: (530) 934-9293 |
NPI Number | 1295752384 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 07/22/2013 |
Medicare PECOS PAC ID | 1557493723 |
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Medicare Enrollment ID | O20100901000955 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295752384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 230000212 (California) | Primary |
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