| Sutter North Brownsville Family Practice Center | |
|
16911 Willow Glen Rd Brownsville CA 95919-9707 | |
| (530) 675-2457 | |
| (530) 675-0530 |
| Full Name | Sutter North Brownsville Family Practice Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 16911 Willow Glen Rd, Brownsville, California |
| Authorized Official Name and Position | David Yamamoto (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5307493330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutter North Brownsville Family Practice Center Po Box 609 Brownsville CA 95919-0609 Ph: (530) 675-2457 | Sutter North Brownsville Family Practice Center 16911 Willow Glen Rd Brownsville CA 95919-9707 Ph: (530) 675-2457 |
| NPI Number | 1134159841 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 12/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134159841 | NPI | - | NPPES |
| RHM53950G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 230000331 (California) | Primary |
Sutter North Brownsville Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16911 Willow Glen Road, Brownsville, CA 95919 Phone: 530-675-2457 Fax: 530-675-0530 |