| Granite Wellness Centers | |
|
8491 North Lake Blvd. Kings Beach CA 96143 | |
| (530) 546-5641 | |
| (530) 546-5480 |
| Full Name | Granite Wellness Centers |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8491 North Lake Blvd., Kings Beach, California |
| Authorized Official Name and Position | Karyn Rubick (ADMINISTRATIVE ASSOCIATE) |
| Authorized Official Contact | 5308785166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite Wellness Centers Po Box 6028 Auburn CA 95604-6028 Ph: (530) 878-5166 | Granite Wellness Centers 8491 North Lake Blvd. Kings Beach CA 96143 Ph: (530) 546-5641 |
| NPI Number | 1912277864 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912277864 | NPI | - | NPPES |
| 31AC | Other | CA | DRUG MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |