| |
1418 E Main St Suite 210 Santa Maria CA 93454-4833 | |
(805) 928-3678 | |
(805) 928-6408 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1418 E Main St, Santa Maria, California |
Authorized Official Name and Position | Barbara A Allen (DIRECTOR OF BUSINESS OFFICE) |
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) 361-8028 | 1418 E Main St Suite 210 Santa Maria CA 93454-4833 Ph: (805) 928-3678 |
NPI Number | 1174859425 |
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Provider Enumeration Date | 10/21/2009 |
Last Update Date | 12/12/2023 |
Medicare PECOS PAC ID | 7416868120 |
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Medicare Enrollment ID | O20110126000292 |
Identifier | Type | State | Issuer |
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1174859425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 | |