WILLOW CREEK - SIX RIVERS MEDICAL CENTER; NPI #1376570473

Contact Information

WILLOW CREEK - SIX RIVERS MEDICAL CENTER

850 STATE HWY 96
WILLOW CREEK, CA 95573

Phone: 530-629-3777
Fax: 530-629-2866
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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

NPI # 1376570473

LBN Legal business name WILLOW CREEK - SIX RIVERS MEDICAL CENTER

Authorized official DOUGLAS SHAW - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/26/2006

Last updated 09/20/2019 - About 7 years ago

Identifiers

CA	Medicaid	RHM10028F
CA	Other	55-3980	BLUE CROSS PROVIDER #
CA	Other	ZZZ33943Z	BLUE SHIELD PROVIDER #
CA	Other	HAP10028F	FAMILY PACT PROVIDER #

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WILLOW CREEK - SIX RIVERS MEDICAL CENTER

Contact Information

Specialty

Rural Health

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

Reviews for WILLOW CREEK - SIX RIVERS MEDICAL CENTER