Kern River Health Center | |
67 Evans Rd Wofford Heights CA 93285-9640 | |
(760) 376-2276 | |
(760) 376-4801 |
Full Name | Kern River Health Center |
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Speciality | Clinic/Center |
Location | 67 Evans Rd, Wofford Heights, California |
Authorized Official Name and Position | Olga Meave (INTERIM 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 |
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Kern River Health Center Po Box 1559 Bakersfield CA 93302-1559 Ph: (661) 635-3050 | Kern River Health Center 67 Evans Rd Wofford Heights CA 93285-9640 Ph: (760) 376-2276 |
NPI Number | 1437151800 |
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Provider Enumeration Date | 08/15/2005 |
Last Update Date | 04/07/2022 |
Medicare PECOS PAC ID | 3870407505 |
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Medicare Enrollment ID | O20100617000304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437151800 | NPI | - | NPPES |
03896F | Medicaid | CA | |
HAP03896F | Other | CA | SOFP |
BCP03896F | Other | CA | CDP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 120000201 (California) | Primary |