| Gaston Middle School Health And Wellness Center | |
|
1120 East Church Ave Fresno CA 93706-5435 | |
| (559) 457-6970 | |
| (559) 457-6995 |
| Full Name | Gaston Middle School Health And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1120 East Church Ave, Fresno, California |
| Authorized Official Name and Position | Olga Meave (CEO) |
| Authorized Official Contact | 6616353050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaston Middle School Health And Wellness Center Po Box 1559 Bakersfield CA 93302-1559 Ph: (661) 635-3050 | Gaston Middle School Health And Wellness Center 1120 East Church Ave Fresno CA 93706-5435 Ph: (559) 457-6970 |
| NPI Number | 1790100402 |
|---|---|
| Provider Enumeration Date | 03/04/2014 |
| Last Update Date | 02/09/2024 |
| Medicare PECOS PAC ID | 3870407505 |
|---|---|
| Medicare Enrollment ID | O20141201001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790100402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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