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2271 S Depot St Santa Maria CA 93455-1216 | |
(805) 922-0561 | |
(805) 922-0083 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2271 S Depot St, Santa Maria, California |
Authorized Official Name and Position | Matthew Richardson (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8057393108 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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117 W Bunny Ave Santa Maria CA 93458-2805 Ph: (805) 739-3474 | 2271 S Depot St Santa Maria CA 93455-1216 Ph: (805) 922-0561 |
NPI Number | 1023523990 |
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Provider Enumeration Date | 12/13/2017 |
Last Update Date | 05/15/2019 |
Medicare PECOS PAC ID | 9739091364 |
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Medicare Enrollment ID | O20190416000124 |
Identifier | Type | State | Issuer |
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1023523990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Robert S. Barry Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St Ste A, Santa Maria, CA 93454 Phone: 805-922-3033 | |
Nightingale Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 S Miller St, Suite 4, Santa Maria, CA 93454 Phone: 805-349-6336 | |