Your Neighborhood Health Clinic, Inc | |
3330 Churn Creek Rd Ste D1 Redding CA 96002-2532 | |
(530) 222-9643 | |
(530) 222-9602 |
Full Name | Your Neighborhood Health Clinic, Inc |
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Speciality | Family Medicine |
Location | 3330 Churn Creek Rd, Redding, California |
Authorized Official Name and Position | Michele Gibson (OFFICE MANAGER) |
Authorized Official Contact | 5302229643 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Your Neighborhood Health Clinic, Inc 3330 Churn Creeek Road Suite D1 Redding CA 96002 Ph: (530) 222-9643 | Your Neighborhood Health Clinic, Inc 3330 Churn Creek Rd Ste D1 Redding CA 96002-2532 Ph: (530) 222-9643 |
NPI Number | 1548265069 |
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Provider Enumeration Date | 06/21/2005 |
Last Update Date | 03/04/2024 |
Medicare PECOS PAC ID | 3779626932 |
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Medicare Enrollment ID | O20100210000396 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548265069 | NPI | - | NPPES |
RN4337340 | Medicaid | CA | |
00G28035 | Other | CA | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Cherie Lee Booker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740309301 PECOS PAC ID: 6002872942 Enrollment ID: I20041202000840 |
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