Organization · Type 2 NPI

Peach Tree Healthcare

Federally Qualified Health Center (FQHC) · Marysville, CA

NPI number 1114643871 Active

Practice location

120 5th St Rm 1
Marysville, CA 95901-5734

Call (530) 749-3242 Map

Fax (530) 749-3248

Mailing address

1114 Yuba St Ste 220
Marysville, CA 95901-4838

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Marysville

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Peach Tree HealthcareFederally Qualified Health Center (FQHC) Marysville, CA NPI 1669152120
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NPI record

NPI: 1114643871
Entity type: Organization (Type 2)
Issued: Oct 14, 2022
Last updated: Nov 8, 2022
Status: Active
Subpart: Yes of Peach Tree Healthcare

Other names

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Peach Tree Yuba County Probation · doing business as
Peach Tree Yuba County Probation · doing business as

Authorized official

Greg Scott Stone
CEO
(530) 741-6245

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114643871

Peach Tree Healthcare's National Provider Identifier is 1114643871, issued on Oct 14, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Marysville, CA. The record was last updated on Nov 8, 2022.