<unavail> in Banning, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Banning, California. The current practice location for is 11555 1/2 Potrero Rd, Banning, California. For appointments, you can reach them via phone at (951) 849-4761. The mailing address for is 11980 Mount Vernon Ave, Grand Terrace, California and phone number is (909) 864-1097.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1437202124. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (951) 849-4761.

Contact Information


	11555 1/2 Potrero Rd Banning CA 92220-6946
	(951) 849-4761
	(951) 849-5612

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	11555 1/2 Potrero Rd, Banning, California
Authorized Official Name and Position	William Thomsen (CEO)
Authorized Official Contact	9098641097
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
11980 Mount Vernon Ave Grand Terrace CA 92313-5172 Ph: (909) 864-1097	11555 1/2 Potrero Rd Banning CA 92220-6946 Ph: (951) 849-4761

NPI Details:

NPI Number	1437202124
Provider Enumeration Date	01/18/2007
Last Update Date	08/25/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	4789867805
Medicare Enrollment ID	O20110329000210

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437202124	NPI	-	NPPES
FHC03854F	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Banning, CA

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Beaver Medical Group, Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 Fax: 909-796-4158
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1034 W Ramsey St # A, Banning, CA 92220 Phone: 951-849-2526 Fax: 951-849-9107

- Medicare Primary Care in Banning, CA