| Children & Family Medical Care Inc. | |
|
1190 W Olive Ave Ste L Merced CA 95348-1960 | |
| (209) 722-0831 | |
| (209) 722-0862 |
| Full Name | Children & Family Medical Care Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1190 W Olive Ave Ste L, Merced, California |
| Authorized Official Name and Position | Nanci Adinolfi (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 2097220831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children & Family Medical Care Inc. 1190 W Olive Ave Ste L Merced CA 95348-1960 Ph: (209) 722-0831 | Children & Family Medical Care Inc. 1190 W Olive Ave Ste L Merced CA 95348-1960 Ph: (209) 722-0831 |
| NPI Number | 1467810549 |
|---|---|
| Provider Enumeration Date | 02/04/2016 |
| Last Update Date | 06/08/2016 |
| Medicare PECOS PAC ID | 5092007682 |
|---|---|
| Medicare Enrollment ID | O20160629002515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467810549 | NPI | - | NPPES |
| 9111565250 | Other | CA | DOT NATIONAL REG. |
| OPA164030 | Other | CA | MEDICARE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 16403 (California) | Primary |
| Provider Name | Tom M Herbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295708345 PECOS PAC ID: 3072585660 Enrollment ID: I20050412001510 |
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