| Gould Mtu | |
|
117 W Dunham St Madera CA 93637-5468 | |
| (559) 674-0915 | |
| (559) 661-1228 |
| Full Name | Gould Mtu |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 117 W Dunham St, Madera, California |
| Authorized Official Name and Position | Sean Kirkpatrick (DEPUTY PUBLIC HEALTH DIRECTOR) |
| Authorized Official Contact | 5596757893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gould Mtu 1604 Sunrise Ave Madera CA 93638-4926 Ph: (559) 675-7893 | Gould Mtu 117 W Dunham St Madera CA 93637-5468 Ph: (559) 674-0915 |
| NPI Number | 1447331731 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447331731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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