| Community Medical Centers | |
|
265 West St. Charles Street San Andreas CA 95249-1107 | |
| (209) 373-2800 | |
| (209) 373-2878 |
| Full Name | Community Medical Centers |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 265 West St. Charles Street, San Andreas, California |
| Authorized Official Name and Position | Michael H. Kirkpatrick (CEO) |
| Authorized Official Contact | 2093732833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Centers Po Box 779 Stockton CA 95201-0779 Ph: (209) 373-2800 | Community Medical Centers 265 West St. Charles Street San Andreas CA 95249-1107 Ph: (209) 373-2800 |
| NPI Number | 1477675049 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477675049 | NPI | - | NPPES |
| HAP70461F | Other | CA | SOFP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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