| NPI | 1003014952 |
|---|---|
| Doing Business As | FOREST ROAD HEALTH & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | GREGORY D MCCULLOCH CEO 209-536-5011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 122300000X Dentist | |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2019-08-22 |