| Adventist Health Community Care-caruthers East | |
|
2357 W Tahoe Caruthers CA 93609 | |
| (559) 864-5200 | |
| (559) 864-8403 |
| Full Name | Adventist Health Community Care-caruthers East |
|---|---|
| Speciality | Clinic/Center |
| Location | 2357 W Tahoe, 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 East Po Box 888806 Los Angeles CA 90088-8806 Ph: (559) 864-5200 | Adventist Health Community Care-caruthers East 2357 W Tahoe Caruthers CA 93609 Ph: (559) 864-5200 |
| NPI Number | 1881930964 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 04/08/2022 |
| Medicare PECOS PAC ID | 0941460984 |
|---|---|
| Medicare Enrollment ID | O20130313000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881930964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 040000149 (California) | Primary |
Adventist Health Community Care - Caruthers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2440 W Tahoe Ave, Caruthers, CA 93609 Phone: 559-587-4349 | |
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 |