| |
500 First St Paso Robles CA 93446-3742 | |
(805) 239-4222 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 500 First St, Paso Robles, California |
Authorized Official Name and Position | Ronald E Castle (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8059293211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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150 Tejas Pl Po Box 430 Nipomo CA 93444-9123 Ph: (805) 929-3211 | 500 First St Paso Robles CA 93446-3742 Ph: (805) 239-4222 |
NPI Number | 1558540740 |
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Provider Enumeration Date | 10/24/2007 |
Last Update Date | 11/18/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558540740 | NPI | - | NPPES |
1548462310 | Medicaid | CA | |
FHC71030F | Medicaid | CA | |
1841217866 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 13th St, Paso Robles, CA 93446 Phone: 805-238-2665 Fax: 805-238-7422 | |
Joseph D Bettencourt Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 Golden Hill Rd, Suite 202, Paso Robles, CA 93446 Phone: 805-434-2240 Fax: 805-434-0102 |