| Benevolence Health Center | |
|
934 Atlantic Ave Long Beach CA 90813-4515 | |
| (562) 437-1888 | |
| (562) 491-1200 |
| Full Name | Benevolence Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 934 Atlantic Ave, Long Beach, California |
| Authorized Official Name and Position | Kwabena Obeng (CEO/ PRESIDENT) |
| Authorized Official Contact | 3108007963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benevolence Health Center 934 Atlantic Ave Long Beach CA 90813-4515 Ph: (562) 437-1888 | Benevolence Health Center 934 Atlantic Ave Long Beach CA 90813-4515 Ph: (562) 437-1888 |
| NPI Number | 1306257324 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 10/22/2019 |
| Medicare PECOS PAC ID | 3870686611 |
|---|---|
| Medicare Enrollment ID | O20191111001908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306257324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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