MEDICARE: CITY OF ETNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	590480415	OTHER		RRB

General Provider Information

NPI Number	:	1124024070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF ETNA

Provider Business Mailing Address
First Line	:	PO BOX 269110
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-9110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	442 MAIN ST
Second Line	:
City	:	ETNA
State	:	CA
Zip	:	96027
Country	:	US
Telephone Number	:	530-467-3217
Fax Number	:

Authorized Official
Title or Position	:	CITY CLERK
Name	:	SARAH GRIGGS
Credential	:
Telephone Number	:	530-467-3217

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	10/18/2016

Similar Medicare Providers

1336121227 — MR. JOAL BERNARD MILES P.T.
Practice Location Address:

450 PIG ALLEY
ETNA, CA
96027-9998

Practice Phone: 530-467-5800
Practice Fax: 530-467-5808

1134182348 — DR. MICHAEL WILLIAM WILLETT M.D.
Practice Location Address:

155 DIGGLES STREET
ETNA, CA
96027

Practice Phone: 530-467-5393
Practice Fax:

1023102530 — DONNA CATHERINE WILCOX PAC
Practice Location Address:

3829 N HWY 3
ETNA, CA
96027-9524

Practice Phone: 707-268-8502
Practice Fax:

1558442681 — SCOTT VALLEY PHARMACY INC
Practice Location Address:

511 MAIN STREET
ETNA, CA
96027-0610

Practice Phone: 530-467-5335
Practice Fax: 530-467-5111

1891876926 — MR. DONALD DEAN MURPHY RPH
Practice Location Address:

511 MAIN STREET
ETNA, CA
96027

Practice Phone: 530-467-5335
Practice Fax: 530-467-5111

1093890956 — LYNDA POLLARD
Practice Location Address:

511 MAIN STREET
ETNA, CA
96027

Practice Phone: 530-467-5335
Practice Fax: 530-467-5111

Directions to “CITY OF ETNA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.