| Adventist Health Community Care - Mojave | |
|
2041 Belshaw St Mojave CA 93501-1601 | |
| (661) 823-1622 | |
| (661) 823-1594 |
| Full Name | Adventist Health Community Care - Mojave |
|---|---|
| Speciality | Clinic/Center |
| Location | 2041 Belshaw St, Mojave, California |
| Authorized Official Name and Position | Daniel Wolcott (PRESIDENT) |
| Authorized Official Contact | 6617718600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Health Community Care - Mojave Po Box 845755 Los Angeles CA 90084-5755 Ph: (661) 771-8600 | Adventist Health Community Care - Mojave 2041 Belshaw St Mojave CA 93501-1601 Ph: (661) 823-1622 |
| NPI Number | 1508175431 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 03/24/2021 |
| Medicare PECOS PAC ID | 1456646629 |
|---|---|
| Medicare Enrollment ID | O20160831002422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508175431 | NPI | - | NPPES |
| ZZT30446F | Medicaid | CA | |
| ZZT40446F | Medicaid | CA | |
| RHM08620F | Medicaid | CA | |
| RHM13979F | Medicaid | CA | |
| LTC30446F | Medicaid | CA | |
| RHM13977F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 120000188 (California) | Secondary |
Mojave Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16914 Highway 14, Mojave, CA 93501 Phone: 661-824-2729 Fax: 661-430-5448 |