Peach Tree Clinic

LBN: Peach Tree Healthcare
Peach Tree Clinic is an health care organization with primary practice located at 5730 Packard Ave Suite 500, Marysville CA 95901-7118. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Eye and Vision Services Providers / Optometrist, Other Service Providers / Acupuncturist, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice, Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Peach Tree Healthcare can be contacted via phone (530) 749-3242, or through Stone, Greg via phone (530) 741-6245.

Contact Information

Primary practice address
5730 Packard Ave Suite 500 Marysville CA 95901-7118
Phone: (530) 749-3242
Fax: (530) 749-3238
Website:
Map and Directions
Authorized official contact:
Name: Stone, Greg
Phone: (530) 741-6245

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY10876 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS12778 California
Eye and Vision Services Providers / Optometrist 152W00000X 14503TLG California
Other Service Providers / Acupuncturist 171100000X A66235 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X A368140 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A93985 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A104819 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A60310 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G42749 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2OA5572 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E1137 California
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 550000005 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14393 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18608 California

Profile Details

NPI number 1003863622
LBN Legal business name Peach Tree Healthcare
DBA Doing business as Peach Tree Clinic
Authorized official Stone, Greg
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated May 23rd, 2022 - 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 1003863622 NPPES
California MEDICAID FHC11619G

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