| Redwood Coast Medical Services, Inc. | |
|
30 Mill Street Point Arena CA 95468-9902 | |
| (707) 882-1704 | |
| (707) 882-2667 |
| Full Name | Redwood Coast Medical Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 Mill Street, Point Arena, California |
| Authorized Official Name and Position | David M. Turner (C.F.O.) |
| Authorized Official Contact | 7078821704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Coast Medical Services, Inc. Po Box 1100 Gualala CA 95445-1100 Ph: (707) 882-1704 | Redwood Coast Medical Services, Inc. 30 Mill Street Point Arena CA 95468-9902 Ph: (707) 882-1704 |
| NPI Number | 1275778847 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 12/24/2013 |
| Medicare PECOS PAC ID | 6901941905 |
|---|---|
| Medicare Enrollment ID | O20110215000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275778847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 550000361 (California) | Primary |
Redwood Coast Medical Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Main Street, Point Arena, CA 95468 Phone: 707-882-1704 | |
Sonoma County Indian Health Project, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10a Mamie Laiwa Drive, Point Arena, CA 95468 Phone: 707-882-2877 Fax: 707-882-2880 |