| Adventist Health Reedley - Lemoore | |
|
810 E D St Lemoore CA 93245-9545 | |
| (559) 587-4349 | |
| Not Available |
| Full Name | Adventist Health Reedley - Lemoore |
|---|---|
| Speciality | Clinic/Center |
| Location | 810 E D St, Lemoore, 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 - Lemoore Po Box 888806 Los Angeles CA 90088-8806 Ph: (559) 587-4349 | Adventist Health Reedley - Lemoore 810 E D St Lemoore CA 93245-9545 Ph: (559) 587-4349 |
| NPI Number | 1699758003 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 04/08/2022 |
| Medicare PECOS PAC ID | 0941460984 |
|---|---|
| Medicare Enrollment ID | O20151028001114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699758003 | NPI | - | NPPES |
| BCP08600F | Medicaid | CA | |
| RHM08600F | Medicaid | CA | |
| HAP08600F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 040000140 (California) | Primary |
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