Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 41696 Road 128, Orosi, 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 |
---|---|
Po Box 888806 Los Angeles CA 90088-8806 Ph: (559) 528-6966 | 41696 Road 128 Orosi CA 93647-2059 Ph: (559) 528-6966 |
NPI Number | 1427497866 |
---|---|
Provider Enumeration Date | 06/19/2013 |
Last Update Date | 04/08/2022 |
Medicare PECOS PAC ID | 0941460984 |
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Medicare Enrollment ID | O20130923000218 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427497866 | NPI | - | NPPES |
1427497866 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
East Valley Family Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12683 Avenue 416, Orosi, CA 93647 Phone: 559-528-4717 Fax: 559-528-0302 | |
Orosi Urgent Care, Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41696 Road 128, Orosi, CA 93647 Phone: 559-528-6966 Fax: 559-528-3665 | |