Beverly Lynn Conley

Individual provider Active NPI Military Health Care Provider · McClellan, CA

NPI 1043420185 · NPPES record last updated Jul 8, 2007

Key facts

NPI: 1043420185
Entity type: Individual (NPI type 1)
Primary specialty: Military Health Care Provider 171000000X
Practice address: 6037 Price Ave
McClellan, CA 95652-2400
Phone: (916) 561-7568
Fax: (916) 561-7566
NPI assigned: May 23, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Uscg Airsta Sacramento Military General Acute Care Hospital · McClellan, CA · NPI 1013187566

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Uscg Airsta Sacramento		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Military Health Care Provider	171000000X			Yes

Addresses

Primary practice location

6037 Price Ave
McClellan, CA 95652-2400

Mailing address

5609 Rafferty Ave
McClellan, CA 95652-2412
Phone (530) 748-9018

Other providers in McClellan, CA

All providers in McClellan, CA · Military Health Care Provider in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.