| Memorial Hospital Los Banos/rural Health Clinic | |
|
1253 W I St Los Banos CA 93635-3930 | |
| (209) 710-6333 | |
| (209) 827-0554 |
| Full Name | Memorial Hospital Los Banos/rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1253 W I St, Los Banos, California |
| Authorized Official Name and Position | Paige A. Terra (CFO) |
| Authorized Official Contact | 9168877050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hospital Los Banos/rural Health Clinic 2700 Gateway Oaks Dr Suite 2200 Sacramento CA 95833-4337 Ph: (916) 887-7040 | Memorial Hospital Los Banos/rural Health Clinic 1253 W I St Los Banos CA 93635-3930 Ph: (209) 710-6333 |
| NPI Number | 1487017471 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 01/07/2022 |
| Medicare PECOS PAC ID | 3375531635 |
|---|---|
| Medicare Enrollment ID | O20170209001805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487017471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Christian Alexander Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457096232 PECOS PAC ID: 3476900374 Enrollment ID: I20231115000925 |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Texas Ave, Los Banos, CA 93635 Phone: 209-826-1045 Fax: 209-384-3966 | |
Memorial Hospital Los Banos Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 I St, Los Banos, CA 93635 Phone: 209-826-0591 | |
Camarena Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 Pacheco Boulevard, Los Banos, CA 93635 Phone: 596-644-4142 | |
Apex Annex Health Center,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 West I Street, Suite A, Los Banos, CA 93635 Phone: 209-827-9999 Fax: 209-827-0011 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Texas Ave, Los Banos, CA 93635 Phone: 209-826-1045 Fax: 209-384-3966 | |
Los Banos Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1045 5th St, Los Banos, CA 93635 Phone: 209-827-4747 | |
County Of Merced Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 F St, Los Banos, CA 93635 Phone: 209-826-1340 |