| Logan Street Medical Group | |
|
2511 Logan St Selma CA 93662-3012 | |
| (559) 896-2624 | |
| (559) 896-3235 |
| Full Name | Logan Street Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2511 Logan St, Selma, California |
| Authorized Official Name and Position | Stanley Young Louie (PRESIDEN/MEDICAL DIRECTOR) |
| Authorized Official Contact | 5598962624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Street Medical Group 2511 Logan St Selma CA 93662-3012 Ph: (559) 896-2624 | Logan Street Medical Group 2511 Logan St Selma CA 93662-3012 Ph: (559) 896-2624 |
| NPI Number | 1942200746 |
|---|---|
| Provider Enumeration Date | 07/22/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942200746 | NPI | - | NPPES |
| GR0081530 | Medicaid | CA | |
| ZZZ53815Z | Other | CA | BLUE SHIELD |
| 020A65700 | Other | CA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A65700 (California) | Primary |
Ltb Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2141 High St, Selma, CA 93662 Phone: 559-891-2611 Fax: 559-891-3118 | |
Sierra View Family Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1237 Rose Ave, Selma, CA 93662 Phone: 559-898-0935 Fax: 559-898-0939 | |
Intisab Sultan,a Medical Professional Corporation Of California Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2256 Dockery Ave Ste A, Selma, CA 93662 Phone: 559-891-0100 Fax: 559-891-9000 | |
Selma Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2057 High St, Selma, CA 93662 Phone: 559-891-9100 Fax: 559-891-7827 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Rose Ave, Selma, CA 93662 Phone: 559-583-4694 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 S Highland Ave, Selma, CA 93662 Phone: 559-891-9003 Fax: 559-891-9005 | |
Selma Rural Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2057 High St, Selma, CA 93662 Phone: 559-891-9100 Fax: 559-891-7827 |