| Full Name | |
|---|---|
| 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 |
|---|---|
16233 Askin Dr. Suite A Frazier Park CA 93222-6536 Ph: (661) 242-2592 | 770 10th St Arcata CA 95521-6210 Ph: (707) 826-8633 |
| NPI Number | 1285056994 |
|---|---|
| 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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