Organization
PEACH TREE HEALTHCARE
Active
Other names
Peach Tree Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG STONE (CEO)
(530) 741-6245
Entity
Organization
Contact information
Practice address
5730 PACKARD AVE, SUITE 500, MARYSVILLE, CA 95901-7118
(530) 749-3242
(530) 749-3238
Mailing address
1114 YUBA ST STE 220, MARYSVILLE, CA 95901-4838
(530) 749-3242
(530) 749-3248
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY10876
CA
1041C0700X
Clinical Social Worker
LCS12778
CA
152W00000X
Optometrist
14503TLG
CA
171100000X
Acupuncturist
A66235
CA
171M00000X
Case Manager/Care Coordinator
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
A368140
CA
207V00000X
Obstetrics & Gynecology Physician
A93985
CA
207W00000X
Ophthalmology Physician
A104819
CA
208000000X
Pediatrics Physician
A60310
CA
2084P0800X
Psychiatry Physician
G42749
CA
208D00000X
General Practice Physician
2OA5572
CA
213E00000X
Podiatrist
E1137
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000005
CA
363A00000X
Physician Assistant
PA14393
CA
363L00000X
Nurse Practitioner
18608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC11619G
—
CA
Enumeration date
05/28/2006
Last updated
05/23/2022
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