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406 James St Shafter CA 93263-2035 | |
(661) 746-5788 | |
(661) 746-5273 |
Full Name | |
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Speciality | Clinic/Center |
Location | 406 James St, Shafter, 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 |
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Po Box 888806 Los Angeles CA 90088-8806 Ph: (661) 746-5788 | 406 James St Shafter CA 93263-2035 Ph: (661) 746-5788 |
NPI Number | 1689037533 |
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Provider Enumeration Date | 03/29/2016 |
Last Update Date | 04/08/2022 |
Medicare PECOS PAC ID | 0941460984 |
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Medicare Enrollment ID | O20160610000492 |
Identifier | Type | State | Issuer |
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1689037533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
National Heath Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 S Central Valley Hwy, Shafter, CA 93263 Phone: 661-746-9194 Fax: 661-746-9197 | |
Clearview Optometry Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 E Lerdo Hwy # 200, Shafter, CA 93263 Phone: 661-746-6989 | |