| Western Sierra Medical Clinic, Inc. | |
|
8665 Salmon Avenue Kings Beach CA 96143 | |
| (530) 273-4984 | |
| (530) 273-4573 |
| Full Name | Western Sierra Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 8665 Salmon Avenue, Kings Beach, California |
| Authorized Official Name and Position | Francine Novak (CHIEF PLANNING AND DEVELOPMENT OFFI) |
| Authorized Official Contact | 5302734984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Sierra Medical Clinic, Inc. 844 Old Tunnel Rd Grass Valley CA 95945-8524 Ph: (530) 273-4984 | Western Sierra Medical Clinic, Inc. 8665 Salmon Avenue Kings Beach CA 96143 Ph: (530) 273-4984 |
| NPI Number | 1306324512 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 07/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306324512 | NPI | - | NPPES |
| 1851513469 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 230000145 (California) | Primary |