PEACH TREE HEALTHCARE – NPI #1841723327
Clinic/Center

PEACH TREE HEALTHCARE is an AHC clinic located in YUBA CITY, CA. NPPES has assigned the NPI number 1841723327 to PEACH TREE HEALTHCARE on April 11, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on May 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEACH TREE HEALTHCARE below.

NPI Profile for
PEACH TREE HEALTHCARE

NPI Number
1841723327
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEACH TREE HEALTHCARE
Primary location
1275 THARP RD
YUBA CITY, CA 95993-2645
Phone: (530) 749-3242 Fax: (530) 749-3248
Mailing address
1114 YUBA ST STE 220
MARYSVILLE, CA 95901-4838
Phone: (530) 749-3242 Fax: (530) 749-3248
Organization Subpart
No
Authorized Official
GREG STONE
CEO
Phone: (530) 749-6245
Updated
Certification Date
May 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
171M00000X
- Case Manager/Care Coordinator

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.