| Yosemite Ave. | |
|
441 E Yosemite Ave Madera CA 93638-3604 | |
| (559) 664-4000 | |
| (559) 675-5625 |
| Full Name | Yosemite Ave. |
|---|---|
| Speciality | Clinic/Center |
| Location | 441 E Yosemite Ave, Madera, California |
| Authorized Official Name and Position | Luzvinda Gabriela Martinez (BILLING SUPERVISOR) |
| Authorized Official Contact | 5596644000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yosemite Ave. Po Box 299 Madera CA 93639-0299 Ph: (559) 664-4000 | Yosemite Ave. 441 E Yosemite Ave Madera CA 93638-3604 Ph: (559) 664-4000 |
| NPI Number | 1013406610 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 05/09/2018 |
| Medicare PECOS PAC ID | 4880584317 |
|---|---|
| Medicare Enrollment ID | O20190102001194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013406610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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