Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 209 C St, Lemoore, California |
Authorized Official Name and Position | John Blaine (CEO) |
Authorized Official Contact | 5599258800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 580 Lemoore CA 93245-0580 Ph: (559) 386-4500 | 209 C St Lemoore CA 93245-2930 Ph: (559) 924-7005 |
NPI Number | 1669929543 |
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Provider Enumeration Date | 09/08/2016 |
Last Update Date | 07/10/2024 |
Medicare PECOS PAC ID | 5597782144 |
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Medicare Enrollment ID | O20161107002456 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669929543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Health Valley Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 E D St, Lemoore, CA 93245 Phone: 559-925-1000 Fax: 559-925-1084 | |
Nahid Eskandari, Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 E D St, Lemoore, CA 93245 Phone: 559-924-7711 | |