| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 3305 G Street, Merced, California |
| Authorized Official Name and Position | Kurt Craig (COMPLIANCE OFFICER) |
| Authorized Official Contact | 2093816818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
P.o. Box 2087 Merced CA 95344-0087 Ph: (209) 381-6800 | 3305 G Street Merced CA 95340 Ph: (209) 381-6880 |
| NPI Number | 1831212612 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831212612 | NPI | - | NPPES |
| 2401 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Parminder S Sidhu Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3850 G St, Merced, CA 95340 Phone: 029-661-4403 | |
Roger L. Fife, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 West Olive Avenue, Suite 104, Merced, CA 95348 Phone: 209-723-9879 Fax: 209-384-9027 | |
Gettysburg Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 W Main St, Merced, CA 95340 Phone: 209-725-2060 Fax: 209-725-2072 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 378 W Olive Ave, Merced, CA 95348 Phone: 209-381-4104 Fax: 209-384-3966 |