| Community Medical Centers, Inc. | |
|
600 Nut Tree Rd Suite 310 Vacaville CA 95687-4669 | |
| (707) 359-1800 | |
| (707) 359-1800 |
| Full Name | Community Medical Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Nut Tree Rd, Vacaville, California |
| Authorized Official Name and Position | Michael H. Kirkpatrick (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2093732833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Centers, Inc. Po Box 779 Stockton CA 95201-0779 Ph: (209) 373-2833 | Community Medical Centers, Inc. 600 Nut Tree Rd Suite 310 Vacaville CA 95687-4669 Ph: (707) 359-1800 |
| NPI Number | 1417012329 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 09/07/2010 |
| Medicare PECOS PAC ID | 8426968520 |
|---|---|
| Medicare Enrollment ID | O20070227000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417012329 | NPI | - | NPPES |
| FHC71006F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 110000507 (California) | Primary |
Community Medical Centers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 Phone: 707-359-1800 | |
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Community Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Nut Tree Rd Ste 310, Vacaville, CA 95687 Phone: 707-359-1800 Fax: 707-359-1837 |