Peach Tree Healthcare
Organization Active NPI Federally Qualified Health Center (FQHC) · Olivehurst, CA
NPI 1760258263 · NPPES record last updated Nov 28, 2023
Key facts
- NPI
- 1760258263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PEACH TREE HEALTHCARE
- Practice address
- 841 Cedar LN RM A103
Olivehurst, CA 95961-6623 - Phone
- (530) 749-3242
- Fax
- (530) 743-5044
- NPI assigned
- Nov 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Gregory S Stone
- Title
- Ceo
- Phone
- (530) 741-6245
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Peach Tree Healthcare
Locations
841 Cedar Ln
Rm A103
Olivehurst, CA 95961
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
841 Cedar LN RM A103
Olivehurst, CA 95961-6623
Mailing address
1114 Yuba St Ste 220
Marysville, CA 95901-4838
Phone (530) 749-3242
Other providers in Olivehurst, CA
- Olivehurst Drug Store Inc
- Jami Lee Orr
- Judith Pascual
- Peach Tree Healthcare
- Peach Tree Healthcare
- Huy Q Phung
- Jacqueline Punzo Punzo
- Jovanna Ramires
- Victoria Ramirez
- Ivette Raya
All providers in Olivehurst, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2023. 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.