| Piru Family Medical Center Fqhc | |
|
4061 Center St Piru CA 93040 | |
| (805) 521-0960 | |
| Not Available |
| Full Name | Piru Family Medical Center Fqhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4061 Center St, Piru, California |
| Authorized Official Name and Position | Narcisa B Egan (CFO) |
| Authorized Official Contact | 8056775140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piru Family Medical Center Fqhc 2323 Knoll Dr 4th Floor Ventura CA 93003-7307 Ph: (805) 677-5373 | Piru Family Medical Center Fqhc 4061 Center St Piru CA 93040 Ph: (805) 521-0960 |
| NPI Number | 1992947725 |
|---|---|
| Provider Enumeration Date | 03/25/2009 |
| Last Update Date | 08/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992947725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS00247-06-03 (California) | Primary |