Western Sierra Medical Clinic - Kings Beach | |
8665 Salmon Avenue Kings Beach CA 96143 | |
(530) 273-4984 | |
(530) 273-4573 |
Full Name | Western Sierra Medical Clinic - Kings Beach |
---|---|
Speciality | Clinic/center - Community Health |
Location | 8665 Salmon Avenue, Kings Beach, California |
Authorized Official Name and Position | Francine Novak (CHIEF PLANNING AND DEVELOPMENT OFFI) |
Authorized Official Contact | 5302734984 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Western Sierra Medical Clinic - Kings Beach 844 Old Tunnel Rd Grass Valley CA 95945-8524 Ph: (530) 273-4984 | Western Sierra Medical Clinic - Kings Beach 8665 Salmon Avenue Kings Beach CA 96143 Ph: (530) 273-4984 |
NPI Number | 1306324512 |
---|---|
Provider Enumeration Date | 07/31/2018 |
Last Update Date | 07/31/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306324512 | NPI | - | NPPES |
1851513469 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 230000145 (California) | Primary |