Big Sur Health Center | |
46896 Highway 1 Big Sur CA 93920-9693 | |
(831) 667-2580 | |
(831) 667-0184 |
Full Name | Big Sur Health Center |
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Speciality | Clinic/Center |
Location | 46896 Highway 1, Big Sur, California |
Authorized Official Name and Position | Sharen Carey (ADMINISTRATOR) |
Authorized Official Contact | 8316672580 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Big Sur Health Center 46896 Highway 1 Big Sur CA 93920-9693 Ph: (831) 667-2580 | Big Sur Health Center 46896 Highway 1 Big Sur CA 93920-9693 Ph: (831) 667-2580 |
NPI Number | 1003908484 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 08/18/2022 |
Medicare PECOS PAC ID | 4082625892 |
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Medicare Enrollment ID | O20060508000944 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003908484 | NPI | - | NPPES |
070000483 | Other | CA | STATE CLINIC LICENSE |
CMM70332F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | 070000483 (California) | Primary |
Provider Name | Brita Bruemmer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306917265 PECOS PAC ID: 9931232915 Enrollment ID: I20100727000997 |
Provider Name | Danielle M Glazer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598012791 PECOS PAC ID: 4789821109 Enrollment ID: I20130502000250 |
Provider Name | Marie Diez-quinton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831755123 PECOS PAC ID: 5991037368 Enrollment ID: I20191105000303 |
Provider Name | Julie T Franke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679291728 PECOS PAC ID: 9335518158 Enrollment ID: I20221216001233 |
Big Sur Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 46896 Highway 1, Big Sur, CA 93920 Phone: 831-667-2580 Fax: 831-667-0184 |