| Eel Valley Rural Health Clinic | |
| 
					129e Wildwood Avenue Rio Dell CA 95562-1723  | |
| (707) 764-3139 | |
| (707) 269-9074 | 
| Full Name | Eel Valley Rural Health Clinic | 
|---|---|
| Speciality | Clinic/center - Rural Health | 
| Location | 129e Wildwood Avenue, Rio Dell, California | 
| Authorized Official Name and Position | Frank Bensell Fisher (CEO) | 
| Authorized Official Contact | 7077643139 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Eel Valley Rural Health Clinic 129e Wildwood Ave. Rio Dell CA 95562-1723 Ph: (707) 764-3139  | Eel Valley Rural Health Clinic 129e Wildwood Avenue Rio Dell CA 95562-1723 Ph: (707) 764-3139  | 
| NPI Number | 1013073782 | 
|---|---|
| Provider Enumeration Date | 12/28/2006 | 
| Last Update Date | 01/22/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013073782 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | PENDING (California) | Primary |