| Willow Creek - Six Rivers Medical Center | |
|
850 State Hwy 96 Willow Creek CA 95573 | |
| (530) 629-3777 | |
| (530) 629-2866 |
| Full Name | Willow Creek - Six Rivers Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 850 State Hwy 96, Willow Creek, California |
| Authorized Official Name and Position | Douglas Allen Shaw (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7078227220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Creek - Six Rivers Medical Center P.o. Box 4388 Arcata CA 95518-4388 Ph: (707) 822-7220 | Willow Creek - Six Rivers Medical Center 850 State Hwy 96 Willow Creek CA 95573 Ph: (530) 629-3777 |
| NPI Number | 1376570473 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376570473 | NPI | - | NPPES |
| 55-3980 | Other | CA | BLUE CROSS PROVIDER # |
| RHM10028F | Medicaid | CA | |
| ZZZ33943Z | Other | CA | BLUE SHIELD PROVIDER # |
| HAP10028F | Other | CA | FAMILY PACT PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
St. Joseph Hospital Eureka Willow Creek Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38883 Hwy 299, Willow Creek, CA 95573 Phone: 530-629-3111 Fax: 530-629-3122 |