| Tipton Medical Clinic | |
|
565 N Thompson Rd Tipton CA 93272-9756 | |
| (559) 752-4147 | |
| (559) 752-4150 |
| Full Name | Tipton Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 565 N Thompson Rd, Tipton, California |
| Authorized Official Name and Position | Linda Roberts (CEO) |
| Authorized Official Contact | 5597574147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tipton Medical Clinic Po Box 130 Tipton CA 93272-0130 Ph: (559) 752-4147 | Tipton Medical Clinic 565 N Thompson Rd Tipton CA 93272-9756 Ph: (559) 752-4147 |
| NPI Number | 1528072527 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 04/12/2024 |
| Medicare PECOS PAC ID | 5395655856 |
|---|---|
| Medicare Enrollment ID | O20030515000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528072527 | NPI | - | NPPES |
| 1528072527 | Medicaid | CA | |
| 1BZZZ06823Z | Other | CA | BLUE SHIELD |
| RHM53969F | Medicaid | CA | |
| HAP53969F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | RHM53969F (California) | Primary |