| Woodland Clinic | |
|
175 W Court St Woodland CA 95695-2913 | |
| (530) 887-2800 | |
| (530) 887-2807 |
| Full Name | Woodland Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 175 W Court St, Woodland, California |
| Authorized Official Name and Position | Sierk Haitsma (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5308872841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodland Clinic 11670 Atwood Rd Auburn CA 95603-9522 Ph: (530) 887-2800 | Woodland Clinic 175 W Court St Woodland CA 95695-2913 Ph: (530) 887-2800 |
| NPI Number | 1174653059 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174653059 | NPI | - | NPPES |
| THP70647F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 030000513 (California) | Primary |
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