| Adventist Health Reedley - Madera Ranchos | |
|
11976 Road 37 Madera CA 93636-8612 | |
| (559) 645-4191 | |
| (559) 645-4540 |
| Full Name | Adventist Health Reedley - Madera Ranchos |
|---|---|
| Speciality | Clinic/Center |
| Location | 11976 Road 37, Madera, 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 - Madera Ranchos Po Box 888806 Los Angeles CA 90088-8806 Ph: (559) 645-4191 | Adventist Health Reedley - Madera Ranchos 11976 Road 37 Madera CA 93636-8612 Ph: (559) 645-4191 |
| NPI Number | 1720459514 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 04/08/2022 |
| Medicare PECOS PAC ID | 0941460984 |
|---|---|
| Medicare Enrollment ID | O20151231001985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720459514 | NPI | - | NPPES |
| 040000149 | Other | CA | CDPH LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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