# CORNING MEDICAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427039841
- **Authorized official:** MR. DON C MASSIE PAC (ADMINISTRATOR)
- **Authorized official phone:** (530) 824-4663

## Contact information

- **Practice address:** 155 SOLANO ST, CORNING, CA 96021-3511
- **Practice address phone:** (530) 824-4663
- **Practice address fax:** (530) 824-5204
- **Mailing address:** 155 SOLANO ST, CORNING, CA 96021-3511
- **Mailing address phone:** (530) 824-4663
- **Mailing address fax:** (530) 824-5204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 11/11/2005
- **Last updated:** 05/16/2008
