GLENN MEDICAL CENTER, INC (NPI# 1356388961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356388961 |
| Entity Type | Organization |
| Organization Name | GLENN MEDICAL CENTER, INC |
| Other Organization Name | FAMILY CARE CENTER |
| Practice Address |
1133 W Sycamore St Willows CA 95988-2601 |
| Practice Telephone | 5309341800 |
| Practice Fax Number | 5309341818 |
| Mailing Telephone | 5309341800 |
| Mailing Fax Number | 5309341818 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | MR. SHAMSHER SINGH (ADMINISTRATOR) |
| Authorized Official Telephone | 5309341800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
23000001 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM13981H | 05 |
| Other Name | Type Code |
|---|---|
| FAMILY CARE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346283017 | Glenn Medical Center, Inc | Clinic/Center | 130 N Enright Ave, Willows, CA 95988-2716 | 2006-06-13 |
| 1619929759 | Glenn Medical Center, Inc | Clinic/Center | 1133 W. Sycamore Street, Willows, CA 95988-2601 | 2006-05-17 |
| 1477017382 | Glenn Medical Center, Inc | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-01-24 |
| 1255632790 | Glenn Medical Center, Inc | Clinic/Center | 1133 W Sycamore St, Willows, CA 95988-2601 | 2010-11-16 |
| 1336187178 | Glenn Medical Center, Inc | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2006-06-03 |
| Street Address |
1133 W SYCAMORE ST |
| City | WILLOWS |
| State | CA |
| Zip Code | 95988-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085877 | Jacqueline Rachel Casey | Physician Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2005-12-30 |
| 1023622396 | Brett Dennis Brown | Physician Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2020-09-03 |
| 1366052219 | Chanele Dresser | Physical Therapy Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2020-08-05 |
| 1306481742 | Glenn Medical Center, LLC | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-11-08 |
| 1144865577 | Glenn Medical Center, LLC | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-11-08 |
| 1063054831 | Glenn Medical Center, LLC | Clinic/Center | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-10-14 |
| 1982169348 | Cheryl Ann Huffman | Physical Therapist | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-02-09 |
| 1477017382 | Glenn Medical Center, Inc | General Acute Care Hospital | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-01-24 |
| 1679045454 | Jason Mower | Physician Assistant | 1133 W Sycamore St, Willows, CA 95988-2601 | 2018-12-18 |
| 1306347547 | John Michael Christopher | Nurse Practitioner | 1133 W Sycamore St, Willows, CA 95988-2601 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457415192 | Eric D Wunsch | Chiropractor | 414 N. Plumas Street, Willows, CA 95988 | 2006-12-20 |
| 1255438370 | Barbara Lynne Ackerman | Surgery | 130 Enright Ave, Willows, CA 95988 | 2006-09-20 |
| 1447282868 | Michell Danforth Knight | Physician Assistant | 460 W Sycamore St, Willows, CA 95988 | 2006-07-07 |
| 1770528457 | Marc Steven Bracy | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-18 |
| 1619949138 | John Richard Pierson | Dentist | 249 North Villa, Willows, CA 95988 | 2006-02-07 |
| 1619379922 | Gillian J Barbaria | Physical Therapist | 116 S Lassen St, Willows, CA 95988 | 2014-09-17 |
| 1558547828 | John Pierson Dds Inc | Dentist | 249 North Villa, Willows, CA 95988 | 2008-01-16 |
| 1891837449 | Zsolt H Kissevich | Dentist | 207 N Butte St, Willows, CA 95988 | 2007-02-12 |
| 1609812650 | Gary M Carson | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-20 |
| 1497791404 | Everett Patrick Shareck Jr. | Emergency Medicine | 1133 W Sycamore Street, Willows, CA 95988 | 2006-06-20 |
| Find all providers in zip 95988 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346283017 | Glenn Medical Center, Inc | Clinic/Center | 130 N Enright Ave, Willows, CA 95988-2716 | 2006-06-13 |
| 1619929759 | Glenn Medical Center, Inc | Clinic/Center | 1133 W. Sycamore Street, Willows, CA 95988-2601 | 2006-05-17 |
| 1063054831 | Glenn Medical Center, LLC | Clinic/Center | 1133 W Sycamore St, Willows, CA 95988-2601 | 2019-10-14 |
| 1154625085 | Willows Firstcare, Inc | Clinic/Center | 460 W Sycamore St, Willows, CA 95988-2832 | 2011-01-06 |
| 1255632790 | Glenn Medical Center, Inc | Clinic/Center | 1133 W Sycamore St, Willows, CA 95988-2601 | 2010-11-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.