| Achc Provider Group | |
|
229 W Cherry Ave Porterville CA 93257-3401 | |
| (559) 789-0277 | |
| Not Available |
| Full Name | Achc Provider Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 229 W Cherry Ave, Porterville, 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 |
|---|---|
| Achc Provider Group Po Box 580 Lemoore CA 93245-0580 Ph: (559) 386-4500 | Achc Provider Group 229 W Cherry Ave Porterville CA 93257-3401 Ph: (559) 789-0277 |
| NPI Number | 1437763612 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437763612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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