National Provider Identifier Database

WILLOW CREEK SIX RIVERS MEDICAL CENTER
Rural Health


Contact Information

WILLOW CREEK - SIX RIVERS MEDICAL CENTER
850 STATE HWY 96
WILLOW CREEK, CA95573
Phone: 530-629-3777
Fax: 530-629-2866
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for WILLOW CREEK - SIX RIVERS MEDICAL CENTER

NPI Number 1376570473
Legal business name
LBN
WILLOW CREEK - SIX RIVERS MEDICAL CENTER
Authorized official DOUGLAS SHAW - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 06/26/2006
Last updated 09/20/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: RHM10028F
  • CA Other: 55-3980 BLUE CROSS PROVIDER #
  • CA Other: ZZZ33943Z BLUE SHIELD PROVIDER #
  • CA Other: HAP10028F FAMILY PACT PROVIDER #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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