Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 689 N St, Firebaugh, California |
Authorized Official Name and Position | Soyla A Reyna-griffin (CEO) |
Authorized Official Contact | 5596932462 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 737 21890 Colorado Ave San Joaquin CA 93660-0737 Ph: (559) 693-2462 | 689 N St Firebaugh CA 93622-2156 Ph: (559) 693-2462 |
NPI Number | 1558638601 |
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Provider Enumeration Date | 11/17/2011 |
Last Update Date | 11/03/2022 |
Medicare PECOS PAC ID | 2365588902 |
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Medicare Enrollment ID | O20120802000649 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558638601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550001856 (California) | Primary |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 P St, Firebaugh, CA 93622 Phone: 559-659-1431 Fax: 559-659-1810 | |
Valley Health Team, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 689 N St, Firebaugh, CA 93622 Phone: 559-659-3037 Fax: 559-693-4382 | |
Westside Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 O St, Firebaugh, CA 93622 Phone: 559-659-9000 Fax: 559-659-9017 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 P St, Firebaugh, CA 93622 Phone: 559-659-1431 Fax: 559-659-1810 | |