Provider Demographics
NPI:1326209974
Name:FIRST CARE MEDICAL CLINIC, INC.
Entity Type:Organization
Organization Name:FIRST CARE MEDICAL CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUSCHATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-692-2050
Mailing Address - Street 1:PO BOX 737
Mailing Address - Street 2:
Mailing Address - City:OREGON HOUSE
Mailing Address - State:CA
Mailing Address - Zip Code:95962-0737
Mailing Address - Country:US
Mailing Address - Phone:530-776-5565
Mailing Address - Fax:530-755-0858
Practice Address - Street 1:118 C ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-6016
Practice Address - Country:US
Practice Address - Phone:530-776-5565
Practice Address - Fax:530-755-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA553880Medicare Oscar/Certification