Provider Demographics
NPI:1154949089
Name:WOMEN'S CIRCLE CLINIC
Entity type:Organization
Organization Name:WOMEN'S CIRCLE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KREIDER
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MSN
Authorized Official - Phone:530-751-2273
Mailing Address - Street 1:1003 PLUMAS ST
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4107
Mailing Address - Country:US
Mailing Address - Phone:530-751-2273
Mailing Address - Fax:530-751-2274
Practice Address - Street 1:1003 PLUMAS ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4107
Practice Address - Country:US
Practice Address - Phone:530-751-2273
Practice Address - Fax:530-751-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1053602052OtherNPI