| Frazier Mountain Community Health Center | |
|
704 Lebec Rd Lebec CA 93243 | |
| (661) 248-5250 | |
| (661) 248-5279 |
| Full Name | Frazier Mountain Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 704 Lebec Rd, Lebec, California |
| Authorized Official Name and Position | Olga Meave (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6616353050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frazier Mountain Community Health Center Po Box 1559 Bakersfield CA 93302-1559 Ph: (661) 635-3050 | Frazier Mountain Community Health Center 704 Lebec Rd Lebec CA 93243 Ph: (661) 248-5250 |
| NPI Number | 1457353831 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 09/07/2023 |
| Medicare PECOS PAC ID | 3870407505 |
|---|---|
| Medicare Enrollment ID | O20100612000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457353831 | NPI | - | NPPES |
| 12040F | Medicaid | CA | |
| ZZZ65152Z | Other | CA | BLUE SHIELD PIN |
| HAP12040F | Other | CA | FAMILY PACT |
| BCP12040F | Other | CA | CDP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 120000199 (California) | Primary |