Trinity Dental Center | |
100 Horseshoe Lane Weaverville CA 96093 | |
(530) 623-8888 | |
(530) 623-8887 |
Full Name | Trinity Dental Center |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 100 Horseshoe Lane, Weaverville, 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 |
---|---|
Trinity Dental Center Po Box 7 Scotia CA 95565-0007 Ph: (707) 764-5617 | Trinity Dental Center 100 Horseshoe Lane Weaverville CA 96093 Ph: (530) 623-8888 |
NPI Number | 1255898953 |
---|---|
Provider Enumeration Date | 02/28/2019 |
Last Update Date | 04/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255898953 | NPI | - | NPPES |
ZZZ80700Z | Other | CA | MEDICARE PIN |
RHM70040F | Medicaid | CA | |
051026 | Medicaid | CA | |
FHC70040F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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› Verified 4 days ago
Trinity Community Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Easter Avenue, Weaverville, CA 96093 Phone: 530-623-4186 Fax: 530-623-4397 | |
Redding Rancheria Trinity Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 81 Arbuckle Court, Weaverville, CA 96093 Phone: 530-623-0021 Fax: 530-623-0025 | |
Donald E. Krouse, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Main Street, Weaverville, CA 96093 Phone: 530-623-3735 Fax: 530-623-1196 |