Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 10769 14th Ave, Armona, California |
Authorized Official Name and Position | Charles W. Smith (COO) |
Authorized Official Contact | 5598674416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 543 Riverdale CA 93656-0543 Ph: (559) 867-4416 | 10769 14th Ave Armona CA 93202 Ph: (559) 583-7200 |
NPI Number | 1730280959 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 10/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730280959 | NPI | - | NPPES |
RHM53915F | Medicaid | CA | |
HAP53915F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |