| Central Bakersfield Community Health Center | |
|
301 Brundage Ln Bakersfield CA 93304-3248 | |
| (661) 323-6086 | |
| (661) 324-6301 |
| Full Name | Central Bakersfield Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Brundage Ln, Bakersfield, California |
| Authorized Official Name and Position | Olga Meave (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6616353050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Bakersfield Community Health Center Po Box 1559 Bakersfield CA 93302-1559 Ph: (661) 635-3050 | Central Bakersfield Community Health Center 301 Brundage Ln Bakersfield CA 93304-3248 Ph: (661) 323-6086 |
| NPI Number | 1659373017 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 09/07/2023 |
| Medicare PECOS PAC ID | 3870407505 |
|---|---|
| Medicare Enrollment ID | O20100802000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659373017 | NPI | - | NPPES |
| HAP11656G | Other | CA | SOFP |
| BCP11656G | Other | CA | CDP |
| 11656G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 120000198 (California) | Primary |
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