| Charlie Mitchell Rural Health Clinic | |
|
9300 Valley Childrens Pl Madera CA 93636-8762 | |
| (559) 353-3000 | |
| Not Available |
| Full Name | Charlie Mitchell Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 9300 Valley Childrens Pl, Madera, California |
| Authorized Official Name and Position | Michele Waldron (SENIOR VP & CFO) |
| Authorized Official Contact | 5593533000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlie Mitchell Rural Health Clinic 9300 Valley Childrens Pl Madera CA 93636-8762 Ph: (559) 353-3000 | Charlie Mitchell Rural Health Clinic 9300 Valley Childrens Pl Madera CA 93636-8762 Ph: (559) 353-3000 |
| NPI Number | 1063573962 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/06/2015 |
| Medicare PECOS PAC ID | 3476461070 |
|---|---|
| Medicare Enrollment ID | O20031212000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063573962 | NPI | - | NPPES |
| RHM1860F | Medicaid | CA | |
| ZZZ64542Z | Other | CA | BLUE SHIELD RHC PID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 040000160 (California) | Primary |
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