# COLUSA MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLUSA MEDICAL CENTER, LLC
- **Other names:** Glenn Family Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760272991
- **Legal business name:** COLUSA MEDICAL CENTER, LLC
- **Authorized official:** TAMMY JEAN THOMPSON (VP FINANCE/CFO)
- **Authorized official phone:** (209) 287-6308

## Contact information

- **Practice address:** 130 N ENRIGHT AVE, WILLOWS, CA 95988-2716
- **Practice address phone:** (530) 934-1766
- **Mailing address:** 199 E WEBSTER ST, COLUSA, CA 95932-0019

## Taxonomy

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

## Other

- **Enumeration date:** 05/09/2025
- **Last updated:** 05/09/2025