Access Wellness Healthcare | |
2209 Coffee Rd Ste I Modesto CA 95355-2360 | |
(209) 526-6400 | |
(209) 526-6425 |
Full Name | Access Wellness Healthcare |
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Speciality | Family Medicine |
Location | 2209 Coffee Rd Ste I, Modesto, California |
Authorized Official Name and Position | Belinda Williamson (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 2095266400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Access Wellness Healthcare 2209 Coffee Rd Ste I Modesto CA 95355-2360 Ph: (209) 526-6400 | Access Wellness Healthcare 2209 Coffee Rd Ste I Modesto CA 95355-2360 Ph: (209) 526-6400 |
NPI Number | 1104393362 |
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Provider Enumeration Date | 10/25/2018 |
Last Update Date | 05/28/2021 |
Medicare PECOS PAC ID | 3476899139 |
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Medicare Enrollment ID | O20190116004097 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104393362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Binh T Dang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184859480 PECOS PAC ID: 2163578857 Enrollment ID: I20090922000397 |
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