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9300 Valley Childrens Pl Madera CA 93636-8762 | |
(559) 353-3000 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 9300 Valley Childrens Pl, Madera, California |
Authorized Official Name and Position | Tina Mycroft (SENIOR VP & CFO) |
Authorized Official Contact | 5593533000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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9300 Valley Childrens Pl Madera CA 93636-8762 Ph: (559) 353-3000 | 9300 Valley Childrens Pl Madera CA 93636-8762 Ph: (559) 353-3000 |
NPI Number | 1063573962 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 01/14/2025 |
Medicare PECOS PAC ID | 3476461070 |
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Medicare Enrollment ID | O20031212000907 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063573962 | NPI | - | NPPES |
RHM1860F | Medicaid | CA | |
ZZZ64542Z | Other | CA | BLUE SHIELD RHC PID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 040000160 (California) | Primary |
Planned Parenthood Mar Monte, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Almond Ave, Suite 1, Madera, CA 93637 Phone: 559-675-1133 Fax: 559-675-1136 | |
Madera Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 E Almond Ave, Madera, CA 93637 Phone: 559-675-5555 Fax: 559-675-5574 | |
Gamdur S. Brar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2339 W Cleveland Ave Ste 101, Madera, CA 93637 Phone: 559-675-9400 Fax: 559-675-9404 | |