| Med Center Medical Clinic | |
|
6651 Madison Ave Carmichael CA 95608-0602 | |
| (916) 965-1111 | |
| (916) 965-5143 |
| Full Name | Med Center Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 6651 Madison Ave, Carmichael, California |
| Authorized Official Name and Position | John J Champlin (OWNER) |
| Authorized Official Contact | 9169651111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Center Medical Clinic 1329 Howe Ave Suite 200 Sacramento CA 95825-3363 Ph: (916) 678-6760 | Med Center Medical Clinic 6651 Madison Ave Carmichael CA 95608-0602 Ph: (916) 965-1111 |
| NPI Number | 1174658306 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 04/02/2014 |
| Medicare PECOS PAC ID | 3678565991 |
|---|---|
| Medicare Enrollment ID | O20040330000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174658306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ZZZ37923Z (California) | Primary |
| Provider Name | John Champlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891865408 PECOS PAC ID: 6406952928 Enrollment ID: I20080519000392 |
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