| Del Puerto Health Center | |
|
1700 Keystone Pacific Pkwy Unit B Patterson CA 95363-8874 | |
| (209) 892-9100 | |
| (209) 892-9102 |
| Full Name | Del Puerto Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 Keystone Pacific Pkwy, Patterson, California |
| Authorized Official Name and Position | Karin Hennings (CEO ADMINISTRATOR) |
| Authorized Official Contact | 2098928781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Del Puerto Health Center Po Box 187 Patterson CA 95363-0187 Ph: (209) 892-8781 | Del Puerto Health Center 1700 Keystone Pacific Pkwy Unit B Patterson CA 95363-8874 Ph: (209) 892-9100 |
| NPI Number | 1063430916 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 8022920917 |
|---|---|
| Medicare Enrollment ID | O20031009000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063430916 | NPI | - | NPPES |
| RHM08901F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (California) | Primary |
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