| Riverbank Primary Care Medical Clinic Inc. | |
|
3227 Stanislaus St. Ste 'a' Riverbank CA 95367 | |
| (209) 869-0131 | |
| (209) 869-5409 |
| Full Name | Riverbank Primary Care Medical Clinic Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3227 Stanislaus St., Riverbank, California |
| Authorized Official Name and Position | Naomi Reynolds (OWNER) |
| Authorized Official Contact | 2098690131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverbank Primary Care Medical Clinic Inc. 3227 Stanislaus St. Ste 'a' Riverbank CA 95367 Ph: (209) 869-0131 | Riverbank Primary Care Medical Clinic Inc. 3227 Stanislaus St. Ste 'a' Riverbank CA 95367 Ph: (209) 869-0131 |
| NPI Number | 1043372618 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 07/20/2022 |
| Medicare PECOS PAC ID | 0446446660 |
|---|---|
| Medicare Enrollment ID | O20101130000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043372618 | NPI | - | NPPES |
| RHM53859F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | RHM53859F (California) | Primary |
Oak Valley Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2603 Patterson Rd, Suite 3, Riverbank, CA 95367 Phone: 209-847-3011 Fax: 209-848-7008 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4150 Patterson Rd, Riverbank, CA 95367 Phone: 209-863-3990 Fax: 209-863-3999 |