| |
1070 E. Ramsey Steet Banning CA 92220-0998 | |
(951) 846-2560 | |
(951) 849-2310 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1070 E. Ramsey Steet, Banning, California |
Authorized Official Name and Position | Temetry A. Lindsey (CEO/PRESIDENT) |
Authorized Official Contact | 9097088158 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1963 N E St San Bernardino CA 92405-3919 Ph: (909) 881-6146 | 1070 E. Ramsey Steet Banning CA 92220-0998 Ph: (951) 846-2560 |
NPI Number | 1578823647 |
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Provider Enumeration Date | 05/23/2012 |
Last Update Date | 07/19/2017 |
Medicare PECOS PAC ID | 2769392927 |
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Medicare Enrollment ID | O20140122001283 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578823647 | NPI | - | NPPES |
FHC 70520F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
New Millenium Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 Fax: 951-849-0080 | |
First Americans Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12359 Malki Rd, Banning, CA 92220 Phone: 951-922-2058 Fax: 888-551-2116 | |
Beaver Medical Group, Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 Fax: 909-796-4158 | |