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741 N Sunset Ave Coalinga CA 93210 | |
(559) 935-9200 | |
(559) 933-9219 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 741 N Sunset Ave, Coalinga, California |
Authorized Official Name and Position | Charles W. Smith (COO) |
Authorized Official Contact | 5598674416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 543 Riverdale CA 93656-0543 Ph: (559) 876-4416 | 741 N Sunset Ave Coalinga CA 93210 Ph: (559) 935-9200 |
NPI Number | 1043311269 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 10/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043311269 | NPI | - | NPPES |
HAP53944F | Medicaid | CA | |
RHM53944F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |