| Redwoods Rural Health Center Inc. | |
|
101 West Coast Road Redway CA 95560 | |
| (707) 923-2783 | |
| (707) 923-2543 |
| Full Name | Redwoods Rural Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 West Coast Road, Redway, California |
| Authorized Official Name and Position | Tina N Tvedt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7079232783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwoods Rural Health Center Inc. Po Box 769 Redway CA 95560 Ph: (707) 923-2783 | Redwoods Rural Health Center Inc. 101 West Coast Road Redway CA 95560 Ph: (707) 923-2783 |
| NPI Number | 1235206087 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 04/06/2012 |
| Medicare PECOS PAC ID | 6709867583 |
|---|---|
| Medicare Enrollment ID | O20040527000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235206087 | NPI | - | NPPES |
| 00G510170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 110000099 (California) | Primary |
Redwoods Rural Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 West Coast Rd, Redway, CA 95560 Phone: 707-923-2783 |