| Adventist Health Reedley - Fowler | |
|
300 S Leon S Peters Blvd Fowler CA 93625-2439 | |
| (559) 834-1614 | |
| (559) 834-0015 |
| Full Name | Adventist Health Reedley - Fowler |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 S Leon S Peters Blvd, Fowler, 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 Reedley - Fowler Po Box 888806 Los Angeles CA 90088-8806 Ph: () - | Adventist Health Reedley - Fowler 300 S Leon S Peters Blvd Fowler CA 93625-2439 Ph: (559) 834-1614 |
| NPI Number | 1093732554 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 04/08/2022 |
| Medicare PECOS PAC ID | 0941460984 |
|---|---|
| Medicare Enrollment ID | O20151104003085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093732554 | NPI | - | NPPES |
| RHM08595G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 040000140 (California) | Primary |
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