| Woodland Clinic, A Service Of Chw Medical Foundation | |
|
1207 Fairchild Ct Woodland CA 95695-4321 | |
| (530) 669-5310 | |
| (530) 661-0685 |
| Full Name | Woodland Clinic, A Service Of Chw Medical Foundation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1207 Fairchild Ct, Woodland, California |
| Authorized Official Name and Position | Theresa M Hylen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9168512559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodland Clinic, A Service Of Chw Medical Foundation 1207 Fairchild Ct Woodland CA 95695-4321 Ph: (530) 669-5350 | Woodland Clinic, A Service Of Chw Medical Foundation 1207 Fairchild Ct Woodland CA 95695-4321 Ph: (530) 669-5310 |
| NPI Number | 1154348860 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154348860 | NPI | - | NPPES |
| GR0013030 | Medicaid | CA | |
| ZZZ52380Z | Other | CA | FAIRCHILD COURT - BSCA |
| 680260555 | Other | FAIRCHILD - MEDI-CAL SP | |
| GR0091675 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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