| Uci Family Health Center - Santa Ana | |
|
800 N Main St Santa Ana CA 92701 | |
| (714) 456-6785 | |
| Not Available |
| Full Name | Uci Family Health Center - Santa Ana |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 N Main St, Santa Ana, California |
| Authorized Official Name and Position | Gina Churchill (REIMBURSEMENT DIRECTOR) |
| Authorized Official Contact | 7145096266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uci Family Health Center - Santa Ana 1500 S Douglass Rd #200, Rt 183 Anaheim CA 92806-6912 Ph: (714) 509-6266 | Uci Family Health Center - Santa Ana 800 N Main St Santa Ana CA 92701 Ph: (714) 456-6785 |
| NPI Number | 1851325906 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 11/04/2019 |
| Medicare PECOS PAC ID | 5395658181 |
|---|---|
| Medicare Enrollment ID | O20111111000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851325906 | NPI | - | NPPES |
| G9158701 | Medicaid | CA | |
| FHC11874F | Medicaid | CA | |
| W1930 | Other | CA | MEDICARE ID -TPE UNSPECIFIED |
| BCP11874F | Medicaid | CA | |
| HAP11874F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (California) | Secondary |
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