Lucerne Community Clinic | |
6300 E. Hwy 20 Lucerne CA 95458 | |
(707) 274-9299 | |
(707) 274-9297 |
Full Name | Lucerne Community Clinic |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 6300 E. Hwy 20, Lucerne, California |
Authorized Official Name and Position | Robert William Gardner (MEDICAL DIRECTOR) |
Authorized Official Contact | 7072749299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lucerne Community Clinic Po Box 1978 Lucerne CA 95458-1978 Ph: (707) 274-9299 | Lucerne Community Clinic 6300 E. Hwy 20 Lucerne CA 95458 Ph: (707) 274-9299 |
NPI Number | 1376609198 |
---|---|
Provider Enumeration Date | 12/28/2006 |
Last Update Date | 06/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376609198 | NPI | - | NPPES |
RHM53967F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Adventist Health Clear Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6300 E. Highway 20, Lucerne, CA 95458 Phone: 707-274-9299 |