| Family Health Centre Medical Group | |
|
686 W Line St Bishop CA 93514-3315 | |
| (760) 872-4311 | |
| (760) 872-4130 |
| Full Name | Family Health Centre Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 686 W Line St, Bishop, California |
| Authorized Official Name and Position | Vasuki Sue Sittampalam (OWNER) |
| Authorized Official Contact | 7608724311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Centre Medical Group 686 W Line St Bishop CA 93514-3315 Ph: (760) 872-4311 | Family Health Centre Medical Group 686 W Line St Bishop CA 93514-3315 Ph: (760) 872-4311 |
| NPI Number | 1245280718 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 04/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245280718 | NPI | - | NPPES |
| 002086560 | Medicaid | CA | |
| RHM53941F | Medicaid | CA | |
| GR0021672 | Medicaid | CA | |
| 0205422 | Other | CA | ST OF WA DEPT LABOR INDUS |
| 183283900 | Other | CA | OWCP |
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