| Kerman Dental Center | |
|
942 S Madera Ave Kerman CA 93630-1743 | |
| (559) 846-9150 | |
| (559) 846-9157 |
| Full Name | Kerman Dental Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 942 S Madera Ave, Kerman, California |
| Authorized Official Name and Position | Soyla A Reyna-griffin (CEO) |
| Authorized Official Contact | 5596932462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerman Dental Center Po Box 737 21890 Colorado Ave San Joaquin CA 93660-0737 Ph: (559) 693-2462 | Kerman Dental Center 942 S Madera Ave Kerman CA 93630-1743 Ph: (559) 846-9150 |
| NPI Number | 1073880126 |
|---|---|
| Provider Enumeration Date | 11/17/2011 |
| Last Update Date | 11/02/2020 |
| Medicare PECOS PAC ID | 2365588902 |
|---|---|
| Medicare Enrollment ID | O20200616002370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073880126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 S Madera Ave, Kerman, CA 93630 Phone: 559-846-6330 Fax: 559-846-5553 | |
Kerman Unified School District Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 S. Eighth Street, Kerman, CA 93630 Phone: 559-364-2975 Fax: 559-864-5001 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 517 S Madera Ave, Kerman, CA 93630 Phone: 559-846-6330 Fax: 559-846-5553 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 S Madera Ave, Kerman, CA 93630 Phone: 559-846-6330 Fax: 559-846-5553 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 S Madera Ave, Kerman, CA 93630 Phone: 559-846-6330 Fax: 559-846-5553 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 S Madera Ave, Kerman, CA 93630 Phone: 559-846-6330 Fax: 559-846-5553 |