# COLUSA MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLUSA MEDICAL CENTER, LLC
- **Other names:** Colusa Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578064846
- **Legal business name:** COLUSA MEDICAL CENTER, LLC
- **Authorized official:** TAMMY JEAN THOMPSON (VP FINANCE)
- **Authorized official phone:** (209) 248-7851

## Contact information

- **Practice address:** 151 E WEBSTER ST, COLUSA, CA 95932-2949
- **Practice address phone:** (530) 619-0800
- **Practice address fax:** (530) 619-0297
- **Mailing address:** 700 17TH ST STE 201D, MODESTO, CA 95354-1249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2018
- **Last updated:** 06/02/2020