| Nipomo Medical Center | |
|
150 Tejas Pl Nipomo CA 93444-9123 | |
| (805) 929-3211 | |
| (805) 929-6359 |
| Full Name | Nipomo Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Tejas Pl, Nipomo, California |
| Authorized Official Name and Position | Barbara Allen (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 8053618014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nipomo Medical Center 2050 S Blosser Rd Santa Maria CA 93458-7310 Ph: (805) 361-8014 | Nipomo Medical Center 150 Tejas Pl Nipomo CA 93444-9123 Ph: (805) 929-3211 |
| NPI Number | 1841217866 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 7416868120 |
|---|---|
| Medicare Enrollment ID | O20100614000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841217866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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