Quartz Valley Indian Reservation is a medicare enrolled primary clinic (Family Medicine) in Fort Jones, California. The current practice location for Quartz Valley Indian Reservation is 9024 Sniktaw Ln, Fort Jones, California. For appointments, you can reach them via phone at
(530) 468-4470. The mailing address for Quartz Valley Indian Reservation is 9024 Sniktaw Ln, Fort Jones, California and phone number is (530) 468-4470.
Quartz Valley Indian Reservation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1306062419. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(530) 468-4470.
Primary Care Clinic Profile
Full Name | Quartz Valley Indian Reservation |
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Speciality | Family Medicine |
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Location | 9024 Sniktaw Ln, Fort Jones, California |
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Authorized Official Name and Position | Kyle Nelson (EXECUTIVE DIRECTOR) |
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Authorized Official Contact | 5304684470 |
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Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Quartz Valley Indian Reservation 9024 Sniktaw Ln Fort Jones CA 96032-9408 Ph: (530) 468-4470 | Quartz Valley Indian Reservation 9024 Sniktaw Ln Fort Jones CA 96032-9408 Ph: (530) 468-4470 |
NPI Details:
NPI Number | 1306062419 |
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Provider Enumeration Date | 04/17/2007 |
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Last Update Date | 02/04/2019 |
Medicare PECOS Information:
Medicare PECOS PAC ID | 8325147457 |
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Medicare Enrollment ID | O20080131000298 |
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Medical Identifiers
Medical identifiers for Quartz Valley Indian Reservation such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306062419 | NPI | - | NPPES |
1306062419 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Quartz Valley Indian Reservation acts as a billing entity for following providers:
Provider Name | Amber Lee Maddox |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1851168579 PECOS PAC ID: 0143740332 Enrollment ID: I20250218002556 |
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