| Peach Tree Healthcare | |
|
5600 Lindhurst Ave Marysville CA 95901-7109 | |
| (530) 749-3242 | |
| (530) 743-5044 |
| Full Name | Peach Tree Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 5600 Lindhurst Ave, Marysville, California |
| Authorized Official Name and Position | Gregory S Stone (CEO) |
| Authorized Official Contact | 5307493242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Tree Healthcare 1114 Yuba St Ste 220 Marysville CA 95901-4838 Ph: (530) 749-3242 | Peach Tree Healthcare 5600 Lindhurst Ave Marysville CA 95901-7109 Ph: (530) 749-3242 |
| NPI Number | 1669152120 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Medicare PECOS PAC ID | 7416978440 |
|---|---|
| Medicare Enrollment ID | O20231218002508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669152120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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