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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEACH TREE HEALTHCARE

Active Organization

PEACH TREE HEALTHCARE is a Federally Qualified Health Center organization located in LIVE OAK, California. NPI 1316096894 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · LIVE OAK, CA

Registration Details

NPI Number
1316096894
Provider Type
Organization
NPI Issued
Jan 10, 2007 (19.593859861281 yrs)
Last Updated
May 23, 2022
Licenses
C51576 (CA)
A93985 (CA)
14503TLG (CA)
550000248 (CA)

Practice Information

Address
9980 LIVE OAK BLVD
LIVE OAK, CA, 959532334
Browse CA providers · Browse ZIP 95953
Phone
5307493242
Fax
5307493248
Primary Specialty
Federally Qualified Health Center
261QF0400X
Additional Specialty
Family Medicine
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Optometrist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.