| Table Mountain Rancheria Medical Center | |
|
23638 Sky Harbour Rd Friant CA 93626-0410 | |
| (559) 822-3785 | |
| (559) 822-2928 |
| Full Name | Table Mountain Rancheria Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 23638 Sky Harbour Rd, Friant, California |
| Authorized Official Name and Position | Marilyn O Benck (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5598223785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Table Mountain Rancheria Medical Center Po Box 410 Friant CA 93626-0410 Ph: (559) 822-3785 | Table Mountain Rancheria Medical Center 23638 Sky Harbour Rd Friant CA 93626-0410 Ph: (559) 822-3785 |
| NPI Number | 1093983389 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093983389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G42148 (California) | Primary |