| San Andreas Clinic | |
|
265 W Saint Charles St # 3 San Andreas CA 95249-9618 | |
| (209) 755-1400 | |
| (209) 755-1430 |
| Full Name | San Andreas Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 265 W Saint Charles St, San Andreas, California |
| Authorized Official Name and Position | Paul B Wandel (CFO) |
| Authorized Official Contact | 2099444710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Andreas Clinic Po Box 779 Stockton CA 95201-0779 Ph: (209) 944-4710 | San Andreas Clinic 265 W Saint Charles St # 3 San Andreas CA 95249-9618 Ph: (209) 755-1400 |
| NPI Number | 1801887716 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801887716 | NPI | - | NPPES |
| FHC70461F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
Mountain Oak Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 556 Mountain Ranch Road, San Andreas, CA 95249 Phone: 209-498-2014 Fax: 209-498-2143 | |
Galen Inpatient Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 768 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-3521 | |
Family Medical Center - San Andreas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 704 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-3521 | |
Mark Twain Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 768 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-3521 Fax: 209-754-2652 | |
Gold Rush Inpatient Services, A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 768 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-3521 | |
Mact Medical San Andreas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1113 Hwy 49, San Andreas, CA 95249 Phone: 209-755-1400 Fax: 209-755-1430 | |
M A C T Health Board Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1113 Highway 49, San Andreas, CA 95249 Phone: 209-754-6262 Fax: 209-674-6211 |