Little Lake Health Center - Medicare Primary Care in Willits, CA

Little Lake Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Willits, California. The current practice location for Little Lake Health Center is 45 Hazel St, Willits, California. For appointments, you can reach them via phone at (707) 456-9600. The mailing address for Little Lake Health Center is 333 Laws Ave, Ukiah, California and phone number is (707) 468-1010.

Little Lake Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1922020585. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (707) 456-9600.

Contact Information

Little Lake Health Center
45 Hazel St
Willits
CA 95490
(707) 456-9600
Not Available

Primary Care Clinic Profile

Full NameLittle Lake Health Center
SpecialityClinic/Center
Location45 Hazel St, Willits, California
Authorized Official Name and PositionTim Dolan (CFO)
Authorized Official Contact7074672260
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Little Lake Health Center
333 Laws Ave
Ukiah
CA 95482-6540

Ph: (707) 468-1010
Little Lake Health Center
45 Hazel St
Willits
CA 95490

Ph: (707) 456-9600

NPI Details:

NPI Number1922020585
Provider Enumeration Date07/24/2006
Last Update Date05/03/2019

Medicare PECOS Information:

Medicare PECOS PAC ID6305755455
Medicare Enrollment IDO20030331000024

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Medical Identifiers

Medical identifiers for Little Lake Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922020585NPI-NPPES
HAP70968FOtherCAFAMILYPACT
FHC70968FMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 110000500 (California)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

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Clinic/Center in Willits, CA

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Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3 Marcela Dr, Willits, CA 95490
Phone: 707-459-6115    Fax: 707-459-1345
Adventist Health Physicians Network
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Medicare: Not Enrolled in Medicare
Practice Location: 3 Marcela Dr, Willits, CA 95490
Phone: 707-459-6115    Fax: 707-459-1345
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Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1245 S Main St, Willits, CA 95490
Phone: 707-459-6861    Fax: 707-459-3057

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