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1000 Skyline Blvd Ste B Avenal CA 93204-1850 | |
(559) 386-4500 | |
(559) 386-0550 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1000 Skyline Blvd Ste B, Avenal, California |
Authorized Official Name and Position | John Blaine (CEO) |
Authorized Official Contact | 5599258800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 580 Lemoore CA 93245-0580 Ph: (559) 386-4500 | 1000 Skyline Blvd Ste B Avenal CA 93204-1850 Ph: (559) 386-4500 |
NPI Number | 1265051882 |
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Provider Enumeration Date | 04/14/2020 |
Last Update Date | 07/10/2024 |
Identifier | Type | State | Issuer |
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1265051882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Medicos Unidos De Avenal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 E Kings St, Avenal, CA 93204 Phone: 559-386-9000 | |
Wonderful Center For Health Innovation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 S 7th Ave, Avenal, CA 93204 Phone: 661-797-6607 Fax: 661-797-6708 |