Pine Mountain Health Center | |
770 10th St Arcata CA 95521-6210 | |
(707) 826-8633 | |
Not Available |
Full Name | Pine Mountain Health Center |
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Speciality | Clinic/center - Community Health |
Location | 770 10th St, Arcata, California |
Authorized Official Name and Position | Sharon M Powell (OWNER) |
Authorized Official Contact | 6612422592 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pine Mountain Health Center 16233 Askin Dr. Suite A Frazier Park CA 93222-6536 Ph: (661) 242-2592 | Pine Mountain Health Center 770 10th St Arcata CA 95521-6210 Ph: (707) 826-8633 |
NPI Number | 1285056994 |
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Provider Enumeration Date | 01/15/2014 |
Last Update Date | 12/03/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285056994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | C3624118 (California) | Primary |
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