Angela Freeman

Individual provider Active NPI Community Health Worker · Greenville, CA

NPI 1730461815 · NPPES record last updated Sep 14, 2011

Key facts

NPI
1730461815
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
312 Crescent St
Greenville, CA 95947
Phone
(530) 284-7007
NPI assigned
Sep 14, 2011
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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Circle Family Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NV Yes

Addresses

Primary practice location

312 Crescent St
Greenville, CA 95947

Mailing address

PO Box 554
Greenville, CA 95947-0554
Phone (530) 284-7007

Other providers in Greenville, CA

All providers in Greenville, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.