Organization
CORNING MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON C MASSIE PAC (ADMINISTRATOR)
(530) 824-4663
Entity
Organization
Contact information
Practice address
155 SOLANO ST, CORNING, CA 96021-3511
(530) 824-4663
(530) 824-5204
Mailing address
155 SOLANO ST, CORNING, CA 96021-3511
(530) 824-4663
(530) 824-5204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM03910G
—
CA
Enumeration date
11/11/2005
Last updated
05/16/2008
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