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Organization
MOUNTAIN COMMUNITIES HEALTHCARE DIS
Active
Organization
MOUNTAIN COMMUNITIES HEALTHCARE DIS
Active
Other names
Trinity Community Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALETHEA HIGGINS (DIRECTOR REVENUE CYCLE)
(530) 623-5541
Entity
Organization
Contact information
Practice address
121 BARBARA AVENUE, WEAVERVILLE, CA 96093
(530) 623-5541
(530) 623-6421
Mailing address
P.O, BOX 1229, 60 EASTER AVENUE, WEAVERVILLE, CA 96093-1229
(530) 623-5541
(530) 623-6421
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
230000038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC08618F
—
CA
Enumeration date
10/18/2006
Last updated
05/08/2013
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