| Sutter Coast Health Center | |
|
785 E. Washington Blvd. Suite 10 Crescent City CA 95531-8343 | |
| (707) 464-8818 | |
| (707) 464-8848 |
| Full Name | Sutter Coast Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 785 E. Washington Blvd., Crescent City, California |
| Authorized Official Name and Position | Mitch Hanna (CEO) |
| Authorized Official Contact | 7074648880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutter Coast Health Center 800 E. Washington Blvd Crescent City CA 95531-8359 Ph: (707) 464-8511 | Sutter Coast Health Center 785 E. Washington Blvd. Suite 10 Crescent City CA 95531-8343 Ph: (707) 464-8818 |
| NPI Number | 1285641167 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 9436148111 |
|---|---|
| Medicare Enrollment ID | O20111216000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285641167 | NPI | - | NPPES |
| RHM18519F | Medicaid | CA | |
| 177139 | Medicaid | OR | |
| HAP18519F | Other | HAP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (California) | Primary |
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