| Bentley Health Center | |
|
12619 Bentley St Waterford CA 95386-9011 | |
| (209) 442-6200 | |
| (209) 394-9093 |
| Full Name | Bentley Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 12619 Bentley St, Waterford, California |
| Authorized Official Name and Position | Leslie Mcgowan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2093947913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bentley Health Center 1140 Main St Livingston CA 95334-1257 Ph: (209) 394-7913 | Bentley Health Center 12619 Bentley St Waterford CA 95386-9011 Ph: (209) 442-6200 |
| NPI Number | 1528433588 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 08/01/2017 |
| Medicare PECOS PAC ID | 8820084692 |
|---|---|
| Medicare Enrollment ID | O20160907000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528433588 | NPI | - | NPPES |
| 751901 | Other | CA | MEDICARE OSCAR/CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Krishnamoorthi M. D. Inc., A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 324 F St, Waterford, CA 95386 Phone: 209-874-2321 Fax: 209-874-3896 | |
Cedar Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12700 Welch St, Waterford, CA 95386 Phone: 209-874-2345 Fax: 209-874-3926 | |
Waterford Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12146 Yosemite Blvd, Waterford, CA 95386 Phone: 209-848-4138 Fax: 209-848-7008 |