| Mendocino Medical Associates, Inc | |
|
721 River Dr Suite A Fort Bragg CA 95437-5402 | |
| (707) 964-7241 | |
| (707) 961-1192 |
| Full Name | Mendocino Medical Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 721 River Dr, Fort Bragg, California |
| Authorized Official Name and Position | Benjamin Graham (PRESIDENT) |
| Authorized Official Contact | 7079647241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendocino Medical Associates, Inc 721 River Dr Suite A Fort Bragg CA 95437-5402 Ph: (707) 964-7241 | Mendocino Medical Associates, Inc 721 River Dr Suite A Fort Bragg CA 95437-5402 Ph: (707) 964-7241 |
| NPI Number | 1598718165 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598718165 | NPI | - | NPPES |
| GR0060500 | Medicaid | CA | |
| RHM53828F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G35252 (California) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Sequoia Cir, Fort Bragg, CA 95437 Phone: 707-964-0259 Fax: 707-964-0765 | |
Mendocino Coast Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 South Street, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 | |
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Northern California Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 W Spruce St, Fort Bragg, CA 95437 Phone: 707-462-1516 Fax: 707-462-1178 | |
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