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988 Oak Grove Rd Concord CA 94518-3032 | |
| (925) 957-5429 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 988 Oak Grove Rd, Concord, California |
| Authorized Official Name and Position | Patrick M. Godley (COO / CFO) |
| Authorized Official Contact | 9259575429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
50 Douglas Dr Suite 391 Martinez CA 94553-4098 Ph: () - | 988 Oak Grove Rd Concord CA 94518-3032 Ph: (925) 957-5429 |
| NPI Number | 1518045764 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518045764 | NPI | - | NPPES |
| FHC80134F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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