Camarena Health Madera South High School: Sbhc | |
705 W Pecan Ave Madera CA 93637-6254 | |
(559) 664-4000 | |
Not Available |
Full Name | Camarena Health Madera South High School: Sbhc |
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Speciality | Clinic/Center |
Location | 705 W Pecan Ave, Madera, California |
Authorized Official Name and Position | Luzvinda Gabriela Martinez (BILLING SUPERVISOR) |
Authorized Official Contact | 5596644000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Camarena Health Madera South High School: Sbhc Po Box 299 Madera CA 93639-0299 Ph: (559) 664-4000 | Camarena Health Madera South High School: Sbhc 705 W Pecan Ave Madera CA 93637-6254 Ph: (559) 664-4000 |
NPI Number | 1124533492 |
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Provider Enumeration Date | 12/08/2017 |
Last Update Date | 05/11/2018 |
Medicare PECOS PAC ID | 4880584317 |
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Medicare Enrollment ID | O20180612000691 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124533492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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