| Coarsegold Health Center | |
|
35324 Highway 41 Ste A Coarsegold CA 93614 | |
| (559) 664-4000 | |
| Not Available |
| Full Name | Coarsegold Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 35324 Highway 41 Ste A, Coarsegold, California |
| Authorized Official Name and Position | Luzvinda Gabriela Martinez (BILLING SUPERVISOR) |
| Authorized Official Contact | 5596644000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coarsegold Health Center Po Box 299 Madera CA 93639-0299 Ph: (559) 664-4000 | Coarsegold Health Center 35324 Highway 41 Ste A Coarsegold CA 93614 Ph: (559) 664-4000 |
| NPI Number | 1023513538 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 05/16/2018 |
| Medicare PECOS PAC ID | 4880584317 |
|---|---|
| Medicare Enrollment ID | O20180612000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023513538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 040000045 (California) | Primary |
Coarsegold Creek Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35463 Highway 41, Coarsegold, CA 93614 Phone: 559-683-6292 |