Mccloud Healthcare Clinic, Inc.

NPI 1164428488 - Clinic/Center - 261QR1300X

NPI Details
NPI 1164428488
Enumeration Date 06/22/2005
Last Updated 10/21/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JENNIFER JENNIFER
Position ADMINISTRATOR
Phone (530) 964-2389
Fax (530) 964-3141
Practice Location
116 W MINNESOTA AVE
MCCLOUD CA, 96057-1143, US
Phone (530) 964-2389
Fax (530) 964-3141
Business Location
PO BOX 1143
MCCLOUD CA, 96057-1143, US
Phone (530) 964-2389
Fax (530) 964-3141
Toxanomy
Taxonomy Code 261QR1300X
License State California
License Number 553934
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According to our database, Mccloud Healthcare Clinic, Inc. NPI is 1164428488, taxonomy code is 261QR1300X and license number is 553934, license state is located at California. Mccloud Healthcare Clinic, Inc. physically located at 116 W Minnesota Ave, Mccloud CA, 96057-1143. NPI Number 1033115704 has the healthcare provider type.

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1164428488 NPI number is provided on an as is basis without warranty of any kind. 1164428488 is maintained by the National Plan & Provider Enumeration System. The contents of Mccloud Healthcare Clinic, Inc. are for informational purposes only.