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1700 Keystone Pacific Pkwy Unit B Patterson CA 95363-8874 | |
(209) 892-9100 | |
(209) 892-9102 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1700 Keystone Pacific Pkwy, Patterson, California |
Authorized Official Name and Position | Karin Hennings (CEO ADMINISTRATOR) |
Authorized Official Contact | 2098928781 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 187 Patterson CA 95363-0187 Ph: (209) 892-8781 | 1700 Keystone Pacific Pkwy Unit B Patterson CA 95363-8874 Ph: (209) 892-9100 |
NPI Number | 1063430916 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 09/22/2020 |
Medicare PECOS PAC ID | 8022920917 |
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Medicare Enrollment ID | O20031009000025 |
Identifier | Type | State | Issuer |
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1063430916 | NPI | - | NPPES |
RHM08901F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (California) | Primary |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 C St, Patterson, CA 95363 Phone: 209-892-8441 Fax: 209-384-3966 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 C St, Patterson, CA 95363 Phone: 209-892-8441 Fax: 209-384-3966 | |
Patterson 1st Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N 3rd St, Patterson, CA 95363 Phone: 209-892-1400 Fax: 209-892-7993 |