| Sebastopol Community Health Center | |
|
6800 Palm Ave Suite C2 Sebastopol CA 95472-4269 | |
| (707) 824-9999 | |
| (707) 824-9335 |
| Full Name | Sebastopol Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6800 Palm Ave, Sebastopol, California |
| Authorized Official Name and Position | Mary E Szecsey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7078695977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sebastopol Community Health Center Po Box 1449 Guerneville CA 95446-1449 Ph: (707) 869-5977 | Sebastopol Community Health Center 6800 Palm Ave Suite C2 Sebastopol CA 95472-4269 Ph: (707) 824-9999 |
| NPI Number | 1538334065 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 01/09/2009 |
| Medicare PECOS PAC ID | 6800782277 |
|---|---|
| Medicare Enrollment ID | O20080519000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538334065 | NPI | - | NPPES |
| 1356344758 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 110000063 (California) | Primary |
Shelleen E Denno Md Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 652 Petaluma Ave, Suite D, Sebastopol, CA 95472 Phone: 775-747-5050 Fax: 775-747-5005 | |
Peter V. Madill, M.d. A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1020 Gravenstein Hwy. So., Suite 120, Sebastopol, CA 95472 Phone: 707-823-3312 Fax: 707-823-4901 | |
Prima Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 652 Petaluma Ave, Suite H, Sebastopol, CA 95472 Phone: 707-823-7616 Fax: 707-823-2803 | |
Bohemian Concierge Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Petaluma Ave Ste B, Sebastopol, CA 95472 Phone: 707-239-9257 | |
Compassionate Concierge Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Petaluma Ave Ste B1, Sebastopol, CA 95472 Phone: 707-694-2390 | |
Sutter Medical Group Of The Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 652 Petaluma Ave, Suite F, Sebastopol, CA 95472 Phone: 707-823-2334 Fax: 707-823-3007 |