| Willow Creek Family Health Center | |
|
38883 Hwy 299 Willow Creek CA 95573-0726 | |
| (530) 629-3111 | |
| (530) 629-3122 |
| Full Name | Willow Creek Family Health Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 38883 Hwy 299, Willow Creek, California |
| Authorized Official Name and Position | Rosemary Frances Den Ouden (CLINIC MANAGER) |
| Authorized Official Contact | 5306293111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Creek Family Health Center Po Box 726 38883 Hwy 299 Willow Creek CA 95573-0726 Ph: (530) 629-3111 | Willow Creek Family Health Center 38883 Hwy 299 Willow Creek CA 95573-0726 Ph: (530) 629-3111 |
| NPI Number | 1336174564 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336174564 | NPI | - | NPPES |
| RHM03886G | Medicaid | CA | |
| BCP03886G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Willow Creek - Six Rivers Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 State Hwy 96, Willow Creek, CA 95573 Phone: 530-629-3777 Fax: 530-629-2866 |