Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 555 E St, Lemoore, California |
Authorized Official Name and Position | John Blaine (CEO) |
Authorized Official Contact | 5593864500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 580 Lemoore CA 93245-0580 Ph: (559) 925-8800 | 555 E St Lemoore CA 93245-2617 Ph: (559) 925-8800 |
NPI Number | 1235826116 |
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Provider Enumeration Date | 04/20/2023 |
Last Update Date | 07/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235826116 | 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 | |