| Siskiyou Rural Housecalls Medical Corporation | |
|
1296 Scheibel Ln Sebastopol CA 95472-4717 | |
| (707) 884-9004 | |
| (707) 823-3856 |
| Full Name | Siskiyou Rural Housecalls Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1296 Scheibel Ln, Sebastopol, California |
| Authorized Official Name and Position | Judith T. Walenta (PRESIDENT) |
| Authorized Official Contact | 7078849004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siskiyou Rural Housecalls Medical Corporation 1296 Scheibel Ln Sebastopol CA 95472-4717 Ph: (707) 884-9004 | Siskiyou Rural Housecalls Medical Corporation 1296 Scheibel Ln Sebastopol CA 95472-4717 Ph: (707) 884-9004 |
| NPI Number | 1871690057 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871690057 | NPI | - | NPPES |
| 01748003 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5992 (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 | |
Sebastopol Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6800 Palm Ave, Suite C2, Sebastopol, CA 95472 Phone: 707-824-9999 Fax: 707-824-9335 |