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210 N Broadway Santa Maria CA 93454-4415 | |
(805) 347-1171 | |
(805) 347-1174 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 210 N Broadway, Santa Maria, 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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2050 S Blosser Rd Santa Maria CA 93458-7310 Ph: (805) 361-8028 | 210 N Broadway Santa Maria CA 93454-4415 Ph: (805) 347-1171 |
NPI Number | 1861791378 |
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Provider Enumeration Date | 03/23/2011 |
Last Update Date | 01/21/2019 |
Identifier | Type | State | Issuer |
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1861791378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Robert S. Barry Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St Ste A, Santa Maria, CA 93454 Phone: 805-922-3033 | |
Nightingale Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 S Miller St, Suite 4, Santa Maria, CA 93454 Phone: 805-349-6336 | |