| Canby Family Practice Clinic | |
|
670 County Road 83 Canby CA 96015-9722 | |
| (530) 233-4641 | |
| (530) 233-4140 |
| Full Name | Canby Family Practice Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 670 County Road 83, Canby, California |
| Authorized Official Name and Position | Greta J Elliott (ADMINISTRATOR) |
| Authorized Official Contact | 5302334641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canby Family Practice Clinic 670 County Road 83 Canby CA 96015-9722 Ph: (530) 233-4641 | Canby Family Practice Clinic 670 County Road 83 Canby CA 96015-9722 Ph: (530) 233-4641 |
| NPI Number | 1528063153 |
|---|---|
| Provider Enumeration Date | 06/20/2005 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528063153 | NPI | - | NPPES |
| RHM03888F | Medicaid | CA | |
| ZZZ21128Z | Other | CA | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 230000116 (California) | Primary |
Lake Wound Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 670 County Rd 83, Canby, CA 96015 Phone: 541-947-7299 Fax: 541-947-3339 | |
Canby Family Practice Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 670 County Road 83, Canby, CA 96015 Phone: 530-233-4641 Fax: 530-233-2830 |