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337 E Kings St Avenal CA 93204-1630 | |
(559) 386-5200 | |
(559) 386-1367 |
Full Name | |
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Speciality | Clinic/Center |
Location | 337 E Kings St, Avenal, California |
Authorized Official Name and Position | Andrea Kofl (CENTRAL VALLEY NETWORK PRESIDENT) |
Authorized Official Contact | 5595370056 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 888806 Los Angeles CA 90088-8806 Ph: (559) 386-5200 | 337 E Kings St Avenal CA 93204-1630 Ph: (559) 386-5200 |
NPI Number | 1326384579 |
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Provider Enumeration Date | 12/17/2012 |
Last Update Date | 04/08/2022 |
Medicare PECOS PAC ID | 0941460984 |
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Medicare Enrollment ID | O20130315000288 |
Identifier | Type | State | Issuer |
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1326384579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 040000149 (California) | Primary |
Medicos Unidos De Avenal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 E Kings St, Avenal, CA 93204 Phone: 559-386-9000 | |
Wonderful Center For Health Innovation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 S 7th Ave, Avenal, CA 93204 Phone: 661-797-6607 Fax: 661-797-6708 |