Organization
GLENN MEDICAL CENTER, LLC
Active
Other names
GLENN MEDICAL CENTER, INC., GLENN MEDICAL CENTER, GLENN FAMILY MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY JEAN THOMPSON (VP FINANCE/CFO)
(209) 287-6308
Entity
Organization
Contact information
Practice address
130 N ENRIGHT AVE, WILLOWS, CA 95988-2716
(530) 934-1800
(530) 934-1818
Mailing address
1133 W SYCAMORE ST, WILLOWS, CA 95988-2601
(530) 934-1800
(530) 934-1818
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
23000001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM08572G
—
CA
Enumeration date
06/13/2006
Last updated
11/02/2022
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