| Clovis Community Health Center | |
|
180 W Shaw Ave Suite B Clovis CA 93612 | |
| (559) 693-2462 | |
| (559) 326-5273 |
| Full Name | Clovis Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 W Shaw Ave, Clovis, California |
| Authorized Official Name and Position | Soyla a Reyna-griffin (CEO) |
| Authorized Official Contact | 5593642462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clovis Community Health Center Po Box 737 San Joaquin CA 93660-0737 Ph: (559) 693-2462 | Clovis Community Health Center 180 W Shaw Ave Suite B Clovis CA 93612 Ph: (559) 693-2462 |
| NPI Number | 1750703237 |
|---|---|
| Provider Enumeration Date | 01/17/2014 |
| Last Update Date | 11/02/2020 |
| Certification Date | 11/02/2020 |
| Medicare PECOS PAC ID | 2365588902 |
|---|---|
| Medicare Enrollment ID | O20140723000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750703237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
Family Wellness Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1817 Shaw Ave Ste 101, Clovis, CA 93611 Phone: 559-360-9698 |
A MU D O Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 761 W Shaw Ave, Clovis, CA 93612 Phone: 559-549-3234 Fax: 559-641-5608 |
El Portal Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2527 Deauville Cir, Clovis, CA 93619 Phone: 559-940-4186 Fax: 209-384-8881 |
Brilyn Jacobsen Medical Practitioner Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 Pollasky Ave Bldg 1/2, Clovis, CA 93612 Phone: 559-207-3924 |
Elevate Health and Wellness Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1530 Shaw Ave, Clovis, CA 93611 Phone: 000-000-0000 |
Central Valley Indian Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 N Dewitt Ave, Clovis, CA 93612 Phone: 559-299-4264 Fax: 559-299-1421 |