| William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp | |
|
510 Cypress St Ste D Fort Bragg CA 95437-5411 | |
| (707) 964-5696 | |
| (707) 964-6274 |
| Full Name | William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 510 Cypress St Ste D, Fort Bragg, California |
| Authorized Official Name and Position | William Matthew Mahon (PARTNER/ADMINISTRATOR) |
| Authorized Official Contact | 7079645696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp 510 Cypress St Ste D Fort Bragg CA 95437-5411 Ph: (707) 964-5696 | William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp 510 Cypress St Ste D Fort Bragg CA 95437-5411 Ph: (707) 964-5696 |
| NPI Number | 1346410230 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346410230 | NPI | - | NPPES |
| RHM53843F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 553843 (California) | Primary |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Sequoia Cir, Fort Bragg, CA 95437 Phone: 707-964-0259 Fax: 707-964-0765 | |
Mendocino Coast Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 South Street, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 | |
Mendocino Coast District Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
Adventist Health Medical Specialties Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 River Dr, Suite C, Fort Bragg, CA 95437 Phone: 707-463-8000 Fax: 707-462-1111 | |
Northern California Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 W Spruce St, Fort Bragg, CA 95437 Phone: 707-462-1516 Fax: 707-462-1178 | |
Mendocino Coast Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste C-100, Fort Bragg, CA 95437 Phone: 707-961-3430 | |
Mendocino Coast Clinics, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-964-5696 |