St. Helena Family Health Center Middletown | |
21337 Bush Street Middletown CA 95461 | |
(707) 987-3311 | |
(707) 987-2455 |
Full Name | St. Helena Family Health Center Middletown |
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Speciality | Family Medicine |
Location | 21337 Bush Street, Middletown, California |
Authorized Official Name and Position | Kaye A Donnelly (SPECIALIST, CONTRACT COMPLIANCE) |
Authorized Official Contact | 7079682809 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Helena Family Health Center Middletown 1001 Adams St Suite 102 Saint Helena CA 94574-1107 Ph: (707) 968-2809 | St. Helena Family Health Center Middletown 21337 Bush Street Middletown CA 95461 Ph: (707) 987-3311 |
NPI Number | 1063791028 |
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Provider Enumeration Date | 08/09/2011 |
Last Update Date | 08/09/2011 |
Identifier | Type | State | Issuer |
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1063791028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Adventist Health Clear Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21337 Bush St, Middletown, CA 95461 Phone: 707-987-3311 Fax: 707-987-2455 |