Southern Trinity Health Inc | |
153-a Van Duzen Rd Mad River CA 95552 | |
(707) 574-6616 | |
(707) 574-6523 |
Full Name | Southern Trinity Health Inc |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 153-a Van Duzen Rd, Mad River, California |
Authorized Official Name and Position | Graylan Lupton (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7075746616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Trinity Health Inc Po Box 7 Scotia CA 95565-0007 Ph: (707) 764-5617 | Southern Trinity Health Inc 153-a Van Duzen Rd Mad River CA 95552 Ph: (707) 574-6616 |
NPI Number | 1316121007 |
---|---|
Provider Enumeration Date | 12/18/2007 |
Last Update Date | 04/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316121007 | NPI | - | NPPES |
EAP70040F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
News Archive
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› Verified 5 days ago
Southern Trinity Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 153-a Van Duzen Rd, Mad River, CA 95552 Phone: 707-574-6616 Fax: 707-574-6523 | |
The Wecare Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 Van Duzen Road, Mad River, CA 95552 Phone: 707-574-6616 Fax: 707-574-6523 |