| St. Anthony Medical Centers | |
|
6368 Hollywood Blvd Hollywood CA 90028-6320 | |
| (323) 469-5555 | |
| Not Available |
| Full Name | St. Anthony Medical Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 6368 Hollywood Blvd, Hollywood, California |
| Authorized Official Name and Position | Awad Anthony (CEO) |
| Authorized Official Contact | 3234695555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Anthony Medical Centers 6368 Hollywood Blvd Hollywood CA 90028-6320 Ph: (323) 469-5555 | St. Anthony Medical Centers 6368 Hollywood Blvd Hollywood CA 90028-6320 Ph: (323) 469-5555 |
| NPI Number | 1063562130 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 04/11/2013 |
| Medicare PECOS PAC ID | 5395638092 |
|---|---|
| Medicare Enrollment ID | O20050817000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063562130 | NPI | - | NPPES |
| FHC70863F | Medicaid | CA | |
| HAP70863F | Other | CA | FAMILY PACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mission City Community Network, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4842 Hollywood Blvd, Hollywood, CA 90027 Phone: 323-644-1110 Fax: 323-644-1171 | |
Bethany Towers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1745 N Gramercy Pl, Hollywood, CA 90028 Phone: 323-467-3121 Fax: 323-469-0627 |