| 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 |