| Gateway High Schol | |
|
1550 Herndon Ave Clovis CA 93611-0569 | |
| (559) 327-1800 | |
| Not Available |
| Full Name | Gateway High Schol |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1550 Herndon Ave, Clovis, California |
| Authorized Official Name and Position | Orlando Gillam (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5599812143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway High Schol 1550 Herndon Ave Clovis CA 93611-0569 Ph: (559) 327-1800 | Gateway High Schol 1550 Herndon Ave Clovis CA 93611-0569 Ph: (559) 327-1800 |
| NPI Number | 1568881340 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568881340 | NPI | - | NPPES |
| 1962637512 | Other | CA | MEDI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100091AN (California) | Primary |
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