Organization
EASTERN PLUMAS HEALTH CARE DISTRICT
Active
Other names
Pine Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HAYES (CEO)
(530) 832-6564
Entity
Organization
Contact information
Practice address
145 N PINE ST, PORTOLA, CA 96122-8415
(530) 832-6500
Mailing address
500 1ST AVE, PORTOLA, CA 96122-9406
(530) 832-6500
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
230000014
CA
Other
Enumeration date
04/29/2015
Last updated
07/30/2015
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