| Chw Medical Foundation | |
|
6501 Coyle Ave Carmichael CA 95608-0306 | |
| (916) 537-5190 | |
| (916) 537-5342 |
| Full Name | Chw Medical Foundation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6501 Coyle Ave, Carmichael, California |
| Authorized Official Name and Position | Theresa M Hylen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9168512559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chw Medical Foundation 3000 Q St Sacramento CA 95816-7058 Ph: (916) 733-5701 | Chw Medical Foundation 6501 Coyle Ave Carmichael CA 95608-0306 Ph: (916) 537-5190 |
| NPI Number | 1588696629 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588696629 | NPI | - | NPPES |
| ZZZ79531Z | Other | CA | MEDI-CAL |
| ZZZ79531Z | Other | BSCA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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