| Western Sierra Medical Clinic - Penn Valley | |
|
10544 Spenceville Rd Penn Valley CA 95946-9623 | |
| (530) 273-4984 | |
| (530) 273-4573 |
| Full Name | Western Sierra Medical Clinic - Penn Valley |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 10544 Spenceville Rd, Penn Valley, California |
| Authorized Official Name and Position | Francine Novak (CHIEF PLANNING AND DEVELOPMEN OFFIC) |
| Authorized Official Contact | 5302734984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Sierra Medical Clinic - Penn Valley 844 Old Tunnel Rd Grass Valley CA 95945-8524 Ph: (530) 273-4984 | Western Sierra Medical Clinic - Penn Valley 10544 Spenceville Rd Penn Valley CA 95946-9623 Ph: (530) 273-4984 |
| NPI Number | 1356829576 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 07/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356829576 | NPI | - | NPPES |
| 1851513469 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 230000145 (California) | Primary |
Wildwood Medical, A Medical Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11244 Pleasant Valley Rd, Penn Valley, CA 95946 Phone: 530-432-4937 Fax: 530-432-5261 | |
Elisabeth B Lernhardt Md Inc Apc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11286 Pleasant Valley Rd, Penn Valley, CA 95946 Phone: 530-432-1300 Fax: 530-432-5214 |