Baum 5 Star Healthcare | |
560 W Grangeville Blvd Ste A Hanford CA 93230-2858 | |
(559) 408-5533 | |
(800) 827-1977 |
Full Name | Baum 5 Star Healthcare |
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Speciality | Family Medicine |
Location | 560 W Grangeville Blvd Ste A, Hanford, California |
Authorized Official Name and Position | Manivanh Baum (PROVIDER) |
Authorized Official Contact | 5594085533 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Baum 5 Star Healthcare 560 W Grangeville Blvd Ste A Hanford CA 93230-2858 Ph: (559) 408-5533 | Baum 5 Star Healthcare 560 W Grangeville Blvd Ste A Hanford CA 93230-2858 Ph: (559) 408-5533 |
NPI Number | 1083277206 |
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Provider Enumeration Date | 04/15/2019 |
Last Update Date | 04/15/2019 |
Medicare PECOS PAC ID | 2668801572 |
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Medicare Enrollment ID | O20200327002617 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083277206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Emmanuel C Conanan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144308644 PECOS PAC ID: 5597651430 Enrollment ID: I20070117000535 |
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