| Peach Tree Healthcare | |
|
4446 Olive Ave Bldg P-5 Olivehurst CA 95961-4738 | |
| (530) 749-3242 | |
| (530) 743-5044 |
| Full Name | Peach Tree Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 4446 Olive Ave Bldg P-5, Olivehurst, California |
| Authorized Official Name and Position | Gregory S Stone (CEO) |
| Authorized Official Contact | 5307493242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Tree Healthcare 1114 Yuba St Ste 220 Marysville CA 95901-4838 Ph: (530) 749-3242 | Peach Tree Healthcare 4446 Olive Ave Bldg P-5 Olivehurst CA 95961-4738 Ph: (530) 749-3242 |
| NPI Number | 1104526664 |
|---|---|
| Provider Enumeration Date | 03/03/2023 |
| Last Update Date | 03/03/2023 |
| Medicare PECOS PAC ID | 7416978440 |
|---|---|
| Medicare Enrollment ID | O20230508001566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104526664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Peach Tree Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1964 11th Ave Rm P18, Olivehurst, CA 95961 Phone: 530-749-3242 Fax: 530-743-5044 | |
Peach Tree Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Cedar Ln Rm A103, Olivehurst, CA 95961 Phone: 530-749-3242 Fax: 530-743-5044 |