| |
1310 Hanna Ave #3 Corcoran CA 93212-2314 | |
(559) 992-5051 | |
(559) 992-3972 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1310 Hanna Ave, Corcoran, California |
Authorized Official Name and Position | Debbie Bach (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5599925051 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1310 Hanna Ave #3 Corcoran CA 93212-2314 Ph: (559) 992-5051 | 1310 Hanna Ave #3 Corcoran CA 93212-2314 Ph: (559) 992-5051 |
NPI Number | 1255460176 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 02/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255460176 | NPI | - | NPPES |
RHM53932G | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 040000087 (California) | Primary |
Central Valley Maternal & Child Care Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1026 Chase Ave, Corcoran, CA 93212 Phone: 559-992-8200 Fax: 559-992-8673 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Chittenden Ave, Corcoran, CA 93212 Phone: 800-492-4227 Fax: 844-672-9226 |