| Mercy Lake Shastina Community Clinic | |
|
16337 Everhart Dr Weed CA 96094-9400 | |
| (530) 938-2297 | |
| (530) 938-0494 |
| Full Name | Mercy Lake Shastina Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 16337 Everhart Dr, Weed, California |
| Authorized Official Name and Position | Kim Miranda (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5302256121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Lake Shastina Community Clinic 3400 Data Dr 1st Floor Rancho Cordova CA 95670-7956 Ph: (530) 225-6300 | Mercy Lake Shastina Community Clinic 16337 Everhart Dr Weed CA 96094-9400 Ph: (530) 938-2297 |
| NPI Number | 1255609699 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 10/31/2016 |
| Medicare PECOS PAC ID | 2062320559 |
|---|---|
| Medicare Enrollment ID | O20120508000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255609699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Weed Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Alamo Ave, Weed, CA 96094 Phone: 530-999-9050 Fax: 530-938-2662 | |
Lake Shastina Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16337 Everhart Dr, Weed, CA 96094 Phone: 530-938-2297 Fax: 530-938-0494 | |
Shasta Regional Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Alamo Ave, Weed, CA 96094 Phone: 530-605-4263 |