| Sonoma County Indian Health Project Inc | |
|
10a Mamie Laiwa Drive Point Arena CA 95468-0623 | |
| (707) 882-2877 | |
| (707) 882-2880 |
| Full Name | Sonoma County Indian Health Project Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10a Mamie Laiwa Drive, Point Arena, California |
| Authorized Official Name and Position | Betty Jean Arterberry (CEO) |
| Authorized Official Contact | 7075214660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoma County Indian Health Project Inc 144 Stony Point Rd Santa Rosa CA 95401-4122 Ph: (707) 521-4630 | Sonoma County Indian Health Project Inc 10a Mamie Laiwa Drive Point Arena CA 95468-0623 Ph: (707) 882-2877 |
| NPI Number | 1578729380 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 07/20/2023 |
| Medicare PECOS PAC ID | 2961491238 |
|---|---|
| Medicare Enrollment ID | O20100802000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578729380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 110000047 (California) | Primary |
Redwood Coast Medical Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 Mill Street, Point Arena, CA 95468 Phone: 707-882-1704 Fax: 707-882-2667 | |
Redwood Coast Medical Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Main Street, Point Arena, CA 95468 Phone: 707-882-1704 |