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Organization
EASTERN PLUMAS HEALTH CARE DISTRICT
Active
Organization
EASTERN PLUMAS HEALTH CARE DISTRICT
Active
Other names
Pine Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HAYES (CEO)
(530) 832-6564
Entity
Organization
Contact information
Practice address
145 N PINE ST, PORTOLA, CA 96122-8415
(530) 832-6500
Mailing address
500 1ST AVE, PORTOLA, CA 96122-9406
(530) 832-6500
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
230000014
CA
Other
Enumeration date
04/29/2015
Last updated
07/30/2015
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