| Marian Community Clinics, Guadalupe | |
|
4723 W Main St Suite H Guadalupe CA 93434-1787 | |
| (805) 343-2004 | |
| (805) 343-2267 |
| Full Name | Marian Community Clinics, Guadalupe |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 4723 W Main St, Guadalupe, California |
| Authorized Official Name and Position | Matthew Richardson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8057393108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian Community Clinics, Guadalupe 117 W Bunny Ave Santa Maria CA 93458-2805 Ph: (805) 739-3890 | Marian Community Clinics, Guadalupe 4723 W Main St Suite H Guadalupe CA 93434-1787 Ph: (805) 343-2004 |
| NPI Number | 1104945831 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 11/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104945831 | NPI | - | NPPES |
| ZZZ06481Z | Other | BLUE SHIELD OF CA | |
| RHM53926F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 050000090 (California) | Primary |
Community Health Centers Guadalupe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4723 W Main St Ste H, Guadalupe, CA 93434 Phone: 805-343-5577 Fax: 805-343-5578 |