| Regents/ucdmg/colusa | |
|
151 E Webster St Colusa CA 95932-2949 | |
| (530) 458-4250 | |
| Not Available |
| Full Name | Regents/ucdmg/colusa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 151 E Webster St, Colusa, California |
| Authorized Official Name and Position | Kurt J Slapnik (CFO) |
| Authorized Official Contact | 9167348203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents/ucdmg/colusa 4900 Broadway Suite 1200 Sacramento CA 95820-1532 Ph: (916) 734-9654 | Regents/ucdmg/colusa 151 E Webster St Colusa CA 95932-2949 Ph: (530) 458-4250 |
| NPI Number | 1245210889 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245210889 | NPI | - | NPPES |
| GR0076451 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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