| Adventist Health Community Care - Caruthers | |
|
2440 W Tahoe Ave Caruthers CA 93609-9476 | |
| (559) 587-4349 | |
| Not Available |
| Full Name | Adventist Health Community Care - Caruthers |
|---|---|
| Speciality | Clinic/Center |
| Location | 2440 W Tahoe Ave, Caruthers, 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 |
|---|---|
| Adventist Health Community Care - Caruthers Po Box 888806 Los Angeles CA 90088-8806 Ph: (559) 587-4349 | Adventist Health Community Care - Caruthers 2440 W Tahoe Ave Caruthers CA 93609-9476 Ph: (559) 587-4349 |
| NPI Number | 1285651745 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 04/08/2022 |
| Medicare PECOS PAC ID | 0941460984 |
|---|---|
| Medicare Enrollment ID | O20151110003105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285651745 | NPI | - | NPPES |
| RHM08592G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 040000140 (California) | Primary |
Maternal & Child Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2357 W Tahoe, Caruthers, CA 93609 Phone: 559-864-5200 Fax: 559-864-8403 | |
Adventist Health Community Care-caruthers East Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2357 W Tahoe, Caruthers, CA 93609 Phone: 559-864-5200 Fax: 559-864-8403 |