Eel Valley Rural Health Clinic

Organization Active NPI Rural Health Clinic/Center · Rio Dell, CA

NPI 1013073782 · NPPES record last updated Jan 22, 2014

Key facts

NPI
1013073782
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
PENDING (CA)
Legal business name
EEL VALLEY RURAL HEALTH CLINIC
Practice address
129E Wildwood Avenue
Rio Dell, CA 95562-1723
Phone
(707) 764-3139
Fax
(707) 269-9074
NPI assigned
Dec 28, 2006
Organization subpart
No

Authorized official

Name
Dr. Frank Bensell Fisher, M.D.
Title
Ceo
Phone
(707) 764-3139

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X PENDING CA Yes

Addresses

Primary practice location

129E Wildwood Avenue
Rio Dell, CA 95562-1723

Mailing address

129E Wildwood Ave.
Rio Dell, CA 95562-1723
Phone (707) 764-3139

Other providers in Rio Dell, CA

All providers in Rio Dell, CA · Rural Health Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.