Organization
PEACH TREE HEALTHCARE
Active
Other names
Peach Tree North Sacramento
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG S STONE (CEO)
(530) 741-6245
Entity
Organization
Contact information
Practice address
3810 ROSIN CT, SUITE 100, SACRAMENTO, CA 95834-1656
(530) 741-6245
(530) 741-9274
Mailing address
1114 YUBA ST STE 220, MARYSVILLE, CA 95901-4838
(530) 749-3242
(530) 749-3248
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
030000463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
751916
PTAN
CA
Enumeration date
04/07/2016
Last updated
05/23/2022
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