National Provider Identifier Database

LUCERNE COMMUNITY CLINIC
Rural Health


Contact Information

LUCERNE COMMUNITY CLINIC
6300 E. HWY 20
LUCERNE, CA95458
Phone: 707-274-9299
Fax: 707-274-9297
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for LUCERNE COMMUNITY CLINIC

NPI Number 1376609198
Legal business name
LBN
LUCERNE COMMUNITY CLINIC
Authorized official ROBERT GARDNER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/28/2006
Last updated 06/17/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: RHM53967F

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.

Reviews for LUCERNE COMMUNITY CLINIC

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