| Community Medical Centers -tracy | |
|
730 N Central Ave Tracy CA 95376-4104 | |
| (209) 820-1525 | |
| (209) 820-1525 |
| Full Name | Community Medical Centers -tracy |
|---|---|
| Speciality | Clinic/Center |
| Location | 730 N Central Ave, Tracy, California |
| Authorized Official Name and Position | Christine C Noguera (CEO) |
| Authorized Official Contact | 2093732831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Centers -tracy 7210 Murray Drive Po Box 770 Stockton CA 95210-3339 Ph: (209) 373-2800 | Community Medical Centers -tracy 730 N Central Ave Tracy CA 95376-4104 Ph: (209) 820-1525 |
| NPI Number | 1609867787 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 04/13/2018 |
| Medicare PECOS PAC ID | 8426968520 |
|---|---|
| Medicare Enrollment ID | O20100803000774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609867787 | NPI | - | NPPES |
| FHC70462F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 030000423 (California) | Primary |
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