| John C Fremont Healthcare District | |
|
6386 Greeley Hill Rd Coulterville CA 95311-9572 | |
| (209) 966-3631 | |
| (209) 966-3776 |
| Full Name | John C Fremont Healthcare District |
|---|---|
| Speciality | Family Medicine |
| Location | 6386 Greeley Hill Rd, Coulterville, California |
| Authorized Official Name and Position | Alan G Macphee (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2099663631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Fremont Healthcare District Po Box 216 Mariposa CA 95338-0216 Ph: (209) 966-3631 | John C Fremont Healthcare District 6386 Greeley Hill Rd Coulterville CA 95311-9572 Ph: (209) 966-3631 |
| NPI Number | 1124248901 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 01/07/2014 |
| Medicare PECOS PAC ID | 5890689533 |
|---|---|
| Medicare Enrollment ID | O20201228001083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124248901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 040000108 (California) | Primary |
John C. Fremont Healthcare District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6386 Greeley Hill Rd, Coulterville, CA 95311 Phone: 209-966-3631 Fax: 209-966-3776 |