Addams Elementary School Health And Wellness Center | |
1510 N Lafayette Ave Fresno CA 93728-1123 | |
(559) 457-6860 | |
(559) 457-6859 |
Full Name | Addams Elementary School Health And Wellness Center |
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Speciality | Clinic/Center |
Location | 1510 N Lafayette Ave, Fresno, 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 |
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Addams Elementary School Health And Wellness Center Po Box 1559 Bakersfield CA 93302-1559 Ph: (661) 635-3050 | Addams Elementary School Health And Wellness Center 1510 N Lafayette Ave Fresno CA 93728-1123 Ph: (559) 457-6860 |
NPI Number | 1053969642 |
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Provider Enumeration Date | 08/28/2019 |
Last Update Date | 09/07/2023 |
Medicare PECOS PAC ID | 3870407505 |
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Medicare Enrollment ID | O20210426001916 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053969642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2630 Tuolumne St, Fresno, CA 93721 Phone: 800-492-4227 Fax: 559-646-6614 |