Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 700 S Main St, Yreka, California |
Authorized Official Name and Position | George Bliss (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5308423606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1608 Yreka CA 96097-1608 Ph: (530) 842-3606 | 700 S Main St Yreka CA 96097-3354 Ph: (530) 842-0817 |
NPI Number | 1881686301 |
---|---|
Provider Enumeration Date | 08/19/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881686301 | NPI | - | NPPES |
RHM53948F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (California) | Primary |
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