Organization
BI-VALLEY MEDICAL CLINIC, INC.
Active
Other names
BAART Programs Norwood
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
310 HARRIS AVE, SUITE A, E, F, G, SACRAMENTO, CA 95838-3249
(916) 649-6793
(916) 418-0174
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(694) 704-8784
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
34-04
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0004552
—
CA
01
—
HDC70032F
MEDI-CAL
CA
Enumeration date
07/23/2006
Last updated
07/29/2024
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