| Ukiah Valley Primary Care Medical Group, Inc | |
|
260 Hospital Dr. Ste. 207 Ukiah CA 95482-4533 | |
| (707) 463-8000 | |
| (707) 462-1111 |
| Full Name | Ukiah Valley Primary Care Medical Group, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 260 Hospital Dr. Ste. 207, Ukiah, California |
| Authorized Official Name and Position | Jeremy Mann (PRESIDENT, BOARD OF DIRECTORS) |
| Authorized Official Contact | 7074638000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ukiah Valley Primary Care Medical Group, Inc Po Box 2739 Ukiah CA 95482-2739 Ph: (707) 463-8000 | Ukiah Valley Primary Care Medical Group, Inc 260 Hospital Dr. Ste. 207 Ukiah CA 95482-4533 Ph: (707) 463-8000 |
| NPI Number | 1699759332 |
|---|---|
| Provider Enumeration Date | 12/06/2005 |
| Last Update Date | 06/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699759332 | NPI | - | NPPES |
| GR0067100 | Medicaid | CA | |
| RHM03947G | Medicaid | CA | |
| GPT000830 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Hospital Dr Ste B, Ukiah, CA 95482 Phone: 707-463-7356 Fax: 707-462-1051 | |
Medical Offices Of Robert Rushton, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 844 S Dora St, Ukiah, CA 95482 Phone: 707-462-8603 Fax: 707-462-8605 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-7425 | |
Motionhealth Ukiah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 E Perkins St, Ukiah, CA 95482 Phone: 707-467-9664 | |
Galen Inpatient Physician Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-3111 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 N State St, Ukiah, CA 95482 Phone: 707-463-7495 Fax: 707-462-7846 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Dr, Suite 103, Ukiah, CA 95482 Phone: 707-463-7490 |