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215 Pacifica Ave Bay Point CA 94565-2904 | |
(925) 957-5429 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 215 Pacifica Ave, Bay Point, California |
Authorized Official Name and Position | Patrick M. Godley (COO / CFO) |
Authorized Official Contact | 9259575405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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50 Douglas Dr Suite 391 Martinez CA 94553-4098 Ph: () - | 215 Pacifica Ave Bay Point CA 94565-2904 Ph: (925) 957-5429 |
NPI Number | 1538247788 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 04/24/2024 |
Identifier | Type | State | Issuer |
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1538247788 | NPI | - | NPPES |
FHC80135F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 140000090 (California) | Primary |