JOHN R GLYER D MILLS MATHESON & MARGARET ARNER MDS PTR (NPI# 1568525400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568525400 |
| Entity Type | Organization |
| Organization Name | JOHN R GLYER D MILLS MATHESON & MARGARET ARNER MDS PTR |
| Other Organization Name | BAECHTEL CREEK MEDICAL CLINIC |
| Practice Address |
1245 S Main St Willits CA 95490-4305 |
| Practice Telephone | 7074596861 |
| Practice Fax Number | 7074593057 |
| Mailing Telephone | 7074596861 |
| Mailing Fax Number | 7074593057 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-12-15 |
| Authorized Official Name | DR. DONALD MILLS MATHESON (MANAGING PARTNER) |
| Authorized Official Telephone | 7074596861 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
053968 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Baechtel Creek Medical Clinic | Doing Business As Name - Organization |
| Street Address |
1245 S MAIN ST |
| City | WILLITS |
| State | CA |
| Zip Code | 95490-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091133 | Glenn Thomas Rogers | Internal Medicine | 1245 S Main St, Willits, CA 95490-4305 | 2005-05-31 |
| 1033476452 | Miriam Ida Harris | Family Medicine | 1245 S Main St, Willits, CA 95490 | 2012-04-23 |
| 1306870605 | Elizabeth Joan Whipkey-olson | Family Medicine | 1245 S Main St, Willits, CA 95490-4305 | 2006-07-10 |
| 1922078898 | Monte Ira Lieberfarb | Family Medicine | 1245 S Main St, Willits, CA 95490-4305 | 2006-01-24 |
| 1053381939 | Angus Duncan Matheson | Family Medicine | 1245 S Main St, Willits, CA 95490-4305 | 2006-01-24 |
| 1629060900 | Donald Mills Matheson | Family Medicine | 1245 S Main St, Willits, CA 95490-4305 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194971 | Laisenia Sau | Specialist | 180 E Barbara Lane, Willits, CA 95490 | 2020-04-28 |
| 1588160527 | Redwood Quality Management Company, Inc. | Community/Behavioral Health | 99 S. Humoldt Street #2, Willits, CA 95490 | 2018-03-30 |
| 1497063861 | Daniel Doyle | Audiologist | 474 E. Valley St., Willits, CA 95490 | 2010-09-20 |
| 1659524346 | Erika Littlefawn Tsonetokoy Coyle | Counselor | 110 E Mendocino Ave, Willits, CA 95490 | 2008-10-28 |
| 1912180548 | Paul F Jacobson | Marriage & Family Therapist | 221-b S. Lenore Avenue, Willits, CA 95490 | 2007-12-05 |
| 1629107735 | Mendocino County | Clinic/Center | 474 East Valley Street, Willits, CA 95490 | 2007-03-05 |
| 1821136482 | Jeff A Cramer | Marriage & Family Therapist | 99 East Humboldt Street, Willits, CA 95490 | 2007-02-02 |
| 1215098215 | Esther Judith Faber | Marriage & Family Therapist | 104 W Mendocino Ave, Willits, CA 95490 | 2006-12-13 |
| 1174684492 | Diana E Levy-peart | Chiropractor | 1225 South Main Street, Willits, CA 95490 | 2006-12-12 |
| 1396810628 | Maria Theresa Bates | Social Worker | Maria T Bates Lcsw, 660 So Main St Suite D, Willits, CA 95490 | 2006-11-21 |
| Find all providers in zip 95490 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437551652 | Willits Hospital Inc | Clinic/Center | 3 Marcela Dr, Willits, CA 95490-5769 | 2014-09-18 |
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|---|---|---|---|---|
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| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
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| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
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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.