| Tccfhc in Nlb at Hamilton Middle School | |
|
1060 E 70th St Long Beach CA 90805-1008 | |
| (562) 264-4669 | |
| (562) 531-7842 |
| Full Name | Tccfhc in Nlb at Hamilton Middle School |
|---|---|
| Speciality | Clinic/Center |
| Location | 1060 E 70th St, Long Beach, California |
| Authorized Official Name and Position | Jina L. Lawler (CHIEF OPERATION OFFICER) |
| Authorized Official Contact | 5622643985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tccfhc in Nlb at Hamilton Middle School 701 E 28th St Suite 200 Long Beach CA 90806-2759 Ph: (562) 264-3985 | Tccfhc in Nlb at Hamilton Middle School 1060 E 70th St Long Beach CA 90805-1008 Ph: (562) 264-4669 |
| NPI Number | 1699839993 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Medicare PECOS PAC ID | 3870544919 |
|---|---|
| Medicare Enrollment ID | O20070914000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699839993 | NPI | - | NPPES |
| FHC70991F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 960001378 (California) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Secondary |
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