PEACH TREE HEALTHCARE NPI 1760258263

NPI Information

NPI: 1760258263
Provider Name: PEACH TREE HEALTHCARE
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
841 CEDAR LN RM A103
OLIVEHURST, CA
ZIP 95961
Phone: (530) 749-3242
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PEACH TREE HEALTHCARE is a federally qualified health center (fqhc) clinic center in Olivehurst, CA. PEACH TREE HEALTHCARE NPI is 1760258263. The provider is registered as an organization entity type.

The provider's business location address is:

841 CEDAR LN RM A103
OLIVEHURST, CA
ZIP 95961-623
Phone: (530) 749-3242
Fax: (530) 743-5044

The provider's authorized official is Gregory S Stone .
The authorized official title is Ceo and has the following contact phone number (530) 741-6245.

The enumeration date for this NPI number is 11/27/2023 and was last updated on 11/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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