Antelope Valley Community Clinic | |
37926 47th St E Palmdale CA 93552-3272 | |
(661) 942-2391 | |
Not Available |
Full Name | Antelope Valley Community Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 37926 47th St E, Palmdale, California |
Authorized Official Name and Position | James Cook (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6619422391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Antelope Valley Community Clinic 45104 10th St W Lancaster CA 93534-2310 Ph: (661) 942-2391 | Antelope Valley Community Clinic 37926 47th St E Palmdale CA 93552-3272 Ph: (661) 942-2391 |
NPI Number | 1720537863 |
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Provider Enumeration Date | 09/30/2016 |
Last Update Date | 06/01/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720537863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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