| Central City Community Health Center, Inc. | |
|
268 Mcarthur Way Upland CA 91786-5615 | |
| (323) 724-0019 | |
| Not Available |
| Full Name | Central City Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 268 Mcarthur Way, Upland, California |
| Authorized Official Name and Position | Maricela Mendoza (MANAGED CARE LEAD) |
| Authorized Official Contact | 3237240019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central City Community Health Center, Inc. 1000 San Gabriel Blvd Ste 200 Rosemead CA 91770-4394 Ph: (323) 724-0019 | Central City Community Health Center, Inc. 268 Mcarthur Way Upland CA 91786-5615 Ph: (323) 724-0019 |
| NPI Number | 1972040467 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972040467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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