Fairchild Medical Clinic

LBN: Fairchild Medical Clinic
Fairchild Medical Clinic is an health care organization with primary practice located at 475 Bruce St , Yreka CA 96097-3474. The organization recently has 5 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Ambulatory Care, Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Non-Pharmacy Dispensing Site. Pharmacy Service Providers / Ambulatory Care is the primary health care specialty. Fairchild Medical Clinic can be contacted via phone (530) 842-3507, or through Adams, Paulette via phone (530) 842-3507.

Contact Information

Primary practice address
475 Bruce St Yreka CA 96097-3474
Phone: (530) 842-3507
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adams, Paulette Registered Nurse (RN)
Phone: (530) 842-3507

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
Pharmacy Service Providers / Ambulatory Care 1835P2201X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1417542606
LBN Legal business name Fairchild Medical Clinic
DBA Doing business as
Authorized official Adams, Paulette Registered Nurse (RN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2021
Last updated Mar 9th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417542606 NPPES
California MEDICAID 1336330646

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