| Foresthill Medical Center Inc | |
|
23000 Foresthill Rd Foresthill CA 95631 | |
| (530) 367-2229 | |
| (530) 367-4161 |
| Full Name | Foresthill Medical Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 23000 Foresthill Rd, Foresthill, California |
| Authorized Official Name and Position | Blaise Philip Desouza (PRESIDENT) |
| Authorized Official Contact | 5303672229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foresthill Medical Center Inc Po Box 1040 Foresthill CA 95631-1040 Ph: (530) 367-2229 | Foresthill Medical Center Inc 23000 Foresthill Rd Foresthill CA 95631 Ph: (530) 367-2229 |
| NPI Number | 1568410421 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568410421 | NPI | - | NPPES |
| 5362017 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A37917 (California) | Primary |