| San Joaquin Prime Care Medical Group Inc | |
|
330 E Pine St Exeter CA 93221-1838 | |
| (559) 592-2134 | |
| (559) 592-5017 |
| Full Name | San Joaquin Prime Care Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 330 E Pine St, Exeter, California |
| Authorized Official Name and Position | Rita Nye (BILLING SUPERVISOR) |
| Authorized Official Contact | 5597831181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Joaquin Prime Care Medical Group Inc 330 E Pine St Exeter CA 93221-1838 Ph: (559) 592-2134 | San Joaquin Prime Care Medical Group Inc 330 E Pine St Exeter CA 93221-1838 Ph: (559) 592-2134 |
| NPI Number | 1265580500 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 04/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265580500 | NPI | - | NPPES |
| GR0084780 | Medicaid | CA | |
| RHM53822F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A43893 (California) | Primary |
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