| |
1026 Chase Ave Corcoran CA 93212-2334 | |
(559) 992-8200 | |
(559) 992-8673 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1026 Chase Ave, Corcoran, California |
Authorized Official Name and Position | Charles Smith (C.O.O.) |
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) 867-4416 | 1026 Chase Ave Corcoran CA 93212-2334 Ph: (559) 992-8200 |
NPI Number | 1326249137 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326249137 | NPI | - | NPPES |
GR0052463 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Central Valley Maternal & Child Care Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1026 Chase Ave, Corcoran, CA 93212 Phone: 559-992-8200 Fax: 559-992-8673 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Chittenden Ave, Corcoran, CA 93212 Phone: 800-492-4227 Fax: 844-672-9226 |