| Modoc Medical Center | |
|
1111 N Nagle St Alturas CA 96101-3840 | |
| (530) 708-8801 | |
| (530) 233-6609 |
| Full Name | Modoc Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 N Nagle St, Alturas, California |
| Authorized Official Name and Position | Kevin Kramer (CEO) |
| Authorized Official Contact | 5307088801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modoc Medical Center Po Box 190 Alturas CA 96101-0190 Ph: (530) 708-8801 | Modoc Medical Center 1111 N Nagle St Alturas CA 96101-3840 Ph: (530) 708-8801 |
| NPI Number | 1487764064 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 12/28/2022 |
| Medicare PECOS PAC ID | 2466447412 |
|---|---|
| Medicare Enrollment ID | O20100504000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487764064 | NPI | - | NPPES |
| RHM13988F | Medicaid | CA | |
| ZZZ13295Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Edward P. Richert, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 W Mcdowell Ave, Alturas, CA 96101 Phone: 530-233-7052 Fax: 530-233-4302 | |
Alturas Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 S Main St, Alturas, CA 96101 Phone: 530-233-2288 Fax: 530-223-1941 | |
Fay, Fay And Stevens Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 Thomason Ln, Alturas, CA 96101 Phone: 530-233-2020 Fax: 530-233-5430 |