| |
2335 Country Hills Dr Antioch CA 94509-7319 | |
(925) 957-5429 | |
(925) 957-5401 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2335 Country Hills Dr, Antioch, California |
Authorized Official Name and Position | Patrick M. Godley (COO / CFO) |
Authorized Official Contact | 9259575405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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50 Douglas Dr Suite 391 Martinez CA 94553-4098 Ph: (925) 957-5429 | 2335 Country Hills Dr Antioch CA 94509-7319 Ph: (925) 957-5429 |
NPI Number | 1285712471 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 04/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285712471 | NPI | - | NPPES |
FHC80132F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 140000090 (California) | Primary |
Industrial Medic Physicians Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Delta Fair Blvd Ste B, Antioch, CA 94509 Phone: 925-978-4830 Fax: 925-775-4801 | |
Galen Inpatient Physician Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7200 | |
Carbon Health East Bay Primary Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5829 Lone Tree Way # D110, Antioch, CA 94531 Phone: 925-204-3715 Fax: 888-972-1912 | |
Full Care Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 Lone Tree Way, Suite 104, Antioch, CA 94509 Phone: 925-755-1255 Fax: 925-755-1259 |