institution
Mediwell, Inc.
Primary Care Clinic/Center in Folsom, California
NPI 1598845562

Mediwell, Inc. is a Primary Care Clinic/Center based in Folsom, CA and is specialized in Primary Care. Mediwell, Inc. practices in Folsom, CA. The NPI Number for Mediwell, Inc. is 1598845562 and holds a License No. A055920 (California).

The current practice location address for Mediwell, Inc. is 1733 Creekside Dr, Folsom, CA and can be reached out via phone at 916-458-9355 and via fax at 916-458-9353.

Location: 1733 Creekside Dr, Folsom, CA, 95630-3457
institution
Provider Profile Details
NPI Number
1598845562
Provider Name
Mediwell, Inc.
Credential
Provider Entity Type
Organization
Address
1733 Creekside Dr, Folsom, CA, 95630-3457
Phone Number
916-458-9355
Fax Number
916-458-9353
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ28024Z 01 CA MEDICARE GROUP NUMBER
GR0095610 05 CA
institution
Provider Business Practice Location Address Details
Address
1733 Creekside Dr
City
State
Zip
95630-3457
Phone Number
916-458-9355
Fax Number
916-458-9353
person
Provider Business Mailing Address Details
Address
1733 Creekside Dr
City
State
Zip
95630-3457
Phone Number
916-458-9355
Fax Number
916-458-9353
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
A055920 (California)
Definition
Definition to come...
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