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2800 Riverside Ave Ste 101 Paso Robles CA 93446-1312 | |
(805) 361-8014 | |
(805) 361-8097 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2800 Riverside Ave Ste 101, Paso Robles, California |
Authorized Official Name and Position | Barbara A Allen (BUSINESS OFFICE DIRECTOR) |
Authorized Official Contact | 8053618014 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2050 S Blosser Rd Santa Maria CA 93458-7310 Ph: (805) 361-8014 | 2800 Riverside Ave Ste 101 Paso Robles CA 93446-1312 Ph: (805) 361-8014 |
NPI Number | 1003462102 |
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Provider Enumeration Date | 08/14/2019 |
Last Update Date | 09/06/2019 |
Medicare PECOS PAC ID | 7416868120 |
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Medicare Enrollment ID | O20201208000108 |
Identifier | Type | State | Issuer |
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1003462102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 |