| Sutter North Brownsville Family Practice Center | |
|
16911 Willow Glen Road Brownsville CA 95919 | |
| (530) 675-2457 | |
| (530) 675-0530 |
| Full Name | Sutter North Brownsville Family Practice Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 16911 Willow Glen Road, Brownsville, California |
| Authorized Official Name and Position | Krista Lopes (SH VP, QUALITY, SAFETY AND PATIENT) |
| Authorized Official Contact | 9163847544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutter North Brownsville Family Practice Center Po Box 255228 Sacramento CA 95865-5228 Ph: (916) 854-6975 | Sutter North Brownsville Family Practice Center 16911 Willow Glen Road Brownsville CA 95919 Ph: (530) 675-2457 |
| NPI Number | 1740422286 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 04/25/2024 |
| Medicare PECOS PAC ID | 9830094515 |
|---|---|
| Medicare Enrollment ID | O20091030000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740422286 | NPI | - | NPPES |
| RHM53950G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 230000331 (California) | Primary |
| 291U00000X | Clinical Medical Laboratory | 05D0617902 (California) | Secondary |
Sutter North Brownsville Family Practice Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16911 Willow Glen Rd, Brownsville, CA 95919 Phone: 530-675-2457 Fax: 530-675-0530 |