Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 205 C St, Lemoore, 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 |
---|---|
Po Box 543 Riverdale CA 93656-0543 Ph: (559) 867-4416 | 205 C St Lemoore CA 93245-2930 Ph: (559) 924-7200 |
NPI Number | 1245339738 |
---|---|
Provider Enumeration Date | 09/21/2006 |
Last Update Date | 10/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245339738 | NPI | - | NPPES |
RHM53854F | Medicaid | CA | |
HAP53854F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Health Valley Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 E D St, Lemoore, CA 93245 Phone: 559-925-1000 Fax: 559-925-1084 | |
Nahid Eskandari, Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 E D St, Lemoore, CA 93245 Phone: 559-924-7711 | |