| Family Medical Center - Arnold | |
|
2182 Highway 4 Suite A-100 Arnold CA 95223-9908 | |
| (209) 795-4193 | |
| (209) 795-0828 |
| Full Name | Family Medical Center - Arnold |
|---|---|
| Speciality | Clinic/Center |
| Location | 2182 Highway 4, Arnold, California |
| Authorized Official Name and Position | Chris Roberts (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2097542614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center - Arnold 768 Mountain Ranch Rd San Andreas CA 95249-9707 Ph: (209) 795-4193 | Family Medical Center - Arnold 2182 Highway 4 Suite A-100 Arnold CA 95223-9908 Ph: (209) 795-4193 |
| NPI Number | 1790846301 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 05/12/2016 |
| Medicare PECOS PAC ID | 8820073711 |
|---|---|
| Medicare Enrollment ID | O20100713000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790846301 | NPI | - | NPPES |
| RHM18573F | Medicaid | CA | |
| ZZZ61266Z | Other | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 030000058 (California) | Primary |
Arnold Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2037 Highway 4, Arnold, CA 95223 Phone: 209-795-1270 Fax: 209-533-7696 | |
Sandra J. Shetzline, Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2740 Highway 4, Drawer V, Arnold, CA 95223 Phone: 209-795-4488 Fax: 209-794-0984 |