| Hayfork Community Health Clinic | |
|
6961 Highway 3 Hayfork CA 96041-0220 | |
| (530) 628-5517 | |
| (530) 628-5524 |
| Full Name | Hayfork Community Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 6961 Highway 3, Hayfork, California |
| Authorized Official Name and Position | Aaron Rogers (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5306232687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayfork Community Health Clinic Po Box 1229 Weaverville CA 96093-1229 Ph: (530) 623-5541 | Hayfork Community Health Clinic 6961 Highway 3 Hayfork CA 96041-0220 Ph: (530) 628-5517 |
| NPI Number | 1669617783 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Medicare PECOS PAC ID | 9133227135 |
|---|---|
| Medicare Enrollment ID | O20091110000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669617783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 230000038 (California) | Primary |
Hayfork Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1243 Main St, Hayfork, CA 96041 Phone: 530-628-5517 Fax: 530-628-5524 |