# NORTHBAY HEALTHCARE GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHBAY HEALTHCARE GROUP
- **Other names:** NorthBay Healthcare Center for Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104151844
- **Legal business name:** NORTHBAY HEALTHCARE GROUP
- **Authorized official:** MS. MARGARET E WALBOLT (VICE PRESIDENT ADMINSTRATIVE SERV)
- **Authorized official phone:** (707) 646-4196

## Contact information

- **Practice address:** 1000 NUT TREE RD, VACAVILLE, CA 95687-4100
- **Practice address phone:** (707) 646-4193
- **Practice address fax:** (707) 399-2651
- **Mailing address:** 1000 NUT TREE RD, VACAVILLE, CA 95687-4100
- **Mailing address phone:** (707) 646-4193
- **Mailing address fax:** (707) 399-2651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 110000093 | CA | Yes |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 10/14/2009