| Arcata Communitylife Medical Center | |
|
1318 H St Arcata CA 95521-5837 | |
| (707) 822-3621 | |
| (707) 826-8258 |
| Full Name | Arcata Communitylife Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1318 H St, Arcata, California |
| Authorized Official Name and Position | Marcelle Mahan (PHYSICIAN ADMINISTRATOR) |
| Authorized Official Contact | 7078223621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arcata Communitylife Medical Center 1318 H St Arcata CA 95521-5837 Ph: (707) 822-3621 | Arcata Communitylife Medical Center 1318 H St Arcata CA 95521-5837 Ph: (707) 822-3621 |
| NPI Number | 1982980199 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982980199 | NPI | - | NPPES |
| PENDING | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G71860 (California) | Primary |
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