Gateway High Schol | |
1550 Herndon Ave Clovis CA 93611-0569 | |
(559) 327-1800 | |
Not Available |
Full Name | Gateway High Schol |
---|---|
Speciality | Community/behavioral Health |
Location | 1550 Herndon Ave, Clovis, California |
Authorized Official Name and Position | Orlando Gillam (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5599812143 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gateway High Schol 1550 Herndon Ave Clovis CA 93611-0569 Ph: (559) 327-1800 | Gateway High Schol 1550 Herndon Ave Clovis CA 93611-0569 Ph: (559) 327-1800 |
NPI Number | 1568881340 |
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Provider Enumeration Date | 04/09/2014 |
Last Update Date | 04/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568881340 | NPI | - | NPPES |
1962637512 | Other | CA | MEDI CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 100091AN (California) | Primary |
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