Organization
NORTHBAY HEALTHCARE GROUP
Active
Parent organization
NORTHBAY HEALTHCARE GROUP
Other names
NorthBay Healthcare Center for Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHBAY HEALTHCARE GROUP
Authorized official
MS. MARGARET E WALBOLT (VICE PRESIDENT ADMINSTRATIVE SERV)
(707) 646-4196
Entity
Organization
Contact information
Practice address
1000 NUT TREE RD, VACAVILLE, CA 95687-4100
(707) 646-4193
(707) 399-2651
Mailing address
1000 NUT TREE RD, VACAVILLE, CA 95687-4100
(707) 646-4193
(707) 399-2651
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110000093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110000093
DHS LICENSE
CA
Enumeration date
10/14/2009
Last updated
10/14/2009
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