| |
108 W Alexander Ave Merced CA 95348-3410 | |
(209) 233-9024 | |
(866) 310-8868 |
Full Name | |
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Speciality | Case Manager/care Coordinator |
Location | 108 W Alexander Ave, Merced, California |
Authorized Official Name and Position | Theophilus Nkwopara (CEO/INFORMATION TECHNOLOGY DIRECTOR) |
Authorized Official Contact | 2098695800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3704 Merced CA 95344-3704 Ph: (209) 869-5800 | 108 W Alexander Ave Merced CA 95348-3410 Ph: (209) 233-9024 |
NPI Number | 1639635154 |
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Provider Enumeration Date | 02/20/2019 |
Last Update Date | 03/02/2023 |
Certification Date | 03/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639635154 | NPI | - | NPPES |
285790 | Other | CA | BVN AND PSYCHIATRIC TECHNICIANS |
247207212 | Other | CA | FACILITY |
768074 | Other | CA | CALIFORNIA BOARD OF REGISTEREDNURSING - BRN |
65927 | Other | CA | BBS/LICENSED CLINICAL SOCIAL WORKER |
851729 | Other | CA | CALIFORNIA BOARD OF REGISTEREDNURSING - BRN |
289669 | Other | CA | BVN AND PSYCHIATRIC TECHNICIANS |
C3791162 | Other | CA | SECRETARY OF STATE |
C4564277 | Other | CA | SECRETARY OF STATE |
813953 | Other | CA | CALIFORNIA BOARD OF REGISTEREDNURSING - BRN |
279040 | Other | CA | B VN AND PSYCHIATRIC TECHNICIANS |
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