| Northern California Medical Assoc Inc | |
|
55 1st St Ste 210 Lakeport CA 95453-4839 | |
| (707) 462-1516 | |
| (707) 462-1178 |
| Full Name | Northern California Medical Assoc Inc |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 55 1st St, Lakeport, California |
| Authorized Official Name and Position | Ruth A Skidmore (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7075736925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern California Medical Assoc Inc 3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 Ph: (707) 575-6049 | Northern California Medical Assoc Inc 55 1st St Ste 210 Lakeport CA 95453-4839 Ph: (707) 462-1516 |
| NPI Number | 1134421357 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 02/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134421357 | NPI | - | NPPES |
| ZZZ36920Z | Other | CA | BLUE SHIELD |
| 1134421357 | Medicaid | CA |
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Sutter Lakeside Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5000 Fax: 707-262-5005 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 11th St, Lakeport, CA 95453 Phone: 707-263-3746 | |
Lake County Tribal Health Consortium, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 359 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-533-2700 Fax: 707-263-5400 | |
Northern California Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844 | |
Sutter Bay Hospitals Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5196 Hill Rd E, Suite 300, Lakeport, CA 95453 Phone: 707-263-6885 Fax: 707-263-6624 |