Riverside Health Clinic Of Colusa | |
717 Bridge St Colusa CA 95932-2851 | |
(530) 458-2300 | |
(530) 458-5558 |
Full Name | Riverside Health Clinic Of Colusa |
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Speciality | Internal Medicine |
Location | 717 Bridge St, Colusa, California |
Authorized Official Name and Position | Sanjiv K Midha (PHYSICIAN) |
Authorized Official Contact | 5304582300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Riverside Health Clinic Of Colusa 1215 Plumas St Suite 1900 Yuba City CA 95991-3455 Ph: (530) 674-2100 | Riverside Health Clinic Of Colusa 717 Bridge St Colusa CA 95932-2851 Ph: (530) 458-2300 |
NPI Number | 1710172242 |
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Provider Enumeration Date | 09/07/2007 |
Last Update Date | 11/14/2019 |
Medicare PECOS PAC ID | 7719074046 |
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Medicare Enrollment ID | O20071101000674 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710172242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A51440 (California) | Primary |
208000000X | Pediatrics | A70328 (California) | Secondary |
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