| Community Medical Centers, Inc | |
|
131 W A St Ste 1 Dixon Family Practice Dixon CA 95620-3437 | |
| (707) 635-1600 | |
| (707) 635-1641 |
| Full Name | Community Medical Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 131 W A St Ste 1, Dixon, California |
| Authorized Official Name and Position | Christine C Noguera (CEO) |
| Authorized Official Contact | 2093732831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Centers, Inc 7210 Murray Dr Po Box 779 Stockton CA 95210-3339 Ph: (209) 373-2800 | Community Medical Centers, Inc 131 W A St Ste 1 Dixon Family Practice Dixon CA 95620-3437 Ph: (707) 635-1600 |
| NPI Number | 1699766519 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 8426968520 |
|---|---|
| Medicare Enrollment ID | O20080909000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699766519 | NPI | - | NPPES |
| FHC03864F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 010000152 (California) | Primary |
Community Medical Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 W A St, Dixon, CA 95620 Phone: 707-635-1600 Fax: 707-635-1641 | |
Community Medical Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 W A St, Dixon, CA 95620 Phone: 707-635-1600 Fax: 707-635-1641 | |
Dixon Dialysis Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Lincoln St, Ste B, Dixon, CA 95620 Phone: 707-678-6433 Fax: 707-678-4879 |