| Family Care Center | |
|
1133 W Sycamore St Willows CA 95988-2601 | |
| (530) 934-1800 | |
| (530) 934-1818 |
| Full Name | Family Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1133 W Sycamore St, Willows, California |
| Authorized Official Name and Position | Tammy Thompson (VP FINANCE/CFO) |
| Authorized Official Contact | 2092876308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center 1133 W Sycamore St Willows CA 95988-2601 Ph: (530) 934-1800 | Family Care Center 1133 W Sycamore St Willows CA 95988-2601 Ph: (530) 934-1800 |
| NPI Number | 1356388961 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 11/02/2022 |
| Medicare PECOS PAC ID | 4486050838 |
|---|---|
| Medicare Enrollment ID | O20220722000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356388961 | NPI | - | NPPES |
| RHM13981H | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 23000001 (California) | Primary |
| Provider Name | Frederick M David |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255313565 PECOS PAC ID: 5991746455 Enrollment ID: I20050516000611 |
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