Theresa Cameron | |
845 W East Ave Chico CA 95926-2002 | |
(530) 896-9400 | |
Not Available |
Full Name | Theresa Cameron |
---|---|
Speciality | Clinic/Center |
Location | 845 W East Ave, Chico, California |
Authorized Official Name and Position | Larissa Tamble (FISCAL MANGAGEMENT DIRECTOR) |
Authorized Official Contact | 5309349293 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Theresa Cameron 207 N Butte St Willows CA 95988-2803 Ph: (530) 934-9293 | Theresa Cameron 845 W East Ave Chico CA 95926-2002 Ph: (530) 896-9400 |
NPI Number | 1265567127 |
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Provider Enumeration Date | 02/22/2007 |
Last Update Date | 07/22/2013 |
Medicare PECOS PAC ID | 1557493723 |
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Medicare Enrollment ID | O20100723000367 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265567127 | NPI | - | NPPES |
THP70710F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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