| |
2733 Alpine Blvd Ste 200 Alpine CA 91901-2253 | |
(619) 662-4100 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2733 Alpine Blvd Ste 200, Alpine, California |
Authorized Official Name and Position | William Brian Wallace (VP/CFO) |
Authorized Official Contact | 6192056339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 662-4100 | 2733 Alpine Blvd Ste 200 Alpine CA 91901-2253 Ph: (619) 662-4100 |
NPI Number | 1770178444 |
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Provider Enumeration Date | 03/04/2021 |
Last Update Date | 03/29/2021 |
Identifier | Type | State | Issuer |
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1770178444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southern Indian Health Council Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 Fax: 619-659-3140 | |
Southern Indian Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 Fax: 619-659-3140 | |
A J Klein Md A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3897 Via Palo Verde Lago, Alpine, CA 91901 Phone: 619-659-9555 Fax: 619-659-9666 | |
Elite Hospital Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1347 Tavern Rd., Ste. 18-244, Alpine, CA 91901 Phone: 619-985-0532 | |