| Omni Family Health | |
|
4815 E Butler Ave Fresno CA 93727-5015 | |
| (866) 707-6664 | |
| (661) 746-9197 |
| Full Name | Omni Family Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4815 E Butler Ave, Fresno, California |
| Authorized Official Name and Position | Francisco L. Castillon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6616307050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Family Health 4900 California Avenue, Suite 400b Bakersfield CA 93309-7081 Ph: (661) 459-1900 | Omni Family Health 4815 E Butler Ave Fresno CA 93727-5015 Ph: (866) 707-6664 |
| NPI Number | 1033837562 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033837562 | NPI | - | NPPES |
| WC33511 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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