Organization · Type 2 NPI
Peach Tree Healthcare
Federally Qualified Health Center (FQHC) · Live Oak, CA
NPI number
1316096894
Active
Practice location
9980 Live Oak Blvd
Live Oak, CA 95953-2334
Fax (530) 749-3248
Mailing address
1114 Yuba St Ste 220
Marysville, CA 95901-4838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 14503TLG (CA) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Family Medicine Physician | 207Q00000X | C51576 (CA) |
| Obstetrics & Gynecology Physician | 207V00000X | A93985 (CA) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 550000248 (CA) |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
About NPI 1316096894
Peach Tree Healthcare's National Provider Identifier is 1316096894, issued on Jan 10, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Live Oak, CA. The record was last updated on May 23, 2022.