| |
11555 Potrero Rd Banning CA 92220-6946 | |
(951) 849-4761 | |
(951) 849-5612 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 11555 Potrero Rd, Banning, California |
Authorized Official Name and Position | Linwood J. Killam (CEO) |
Authorized Official Contact | 9518494761 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11555 Potrero Rd Banning CA 92220-6946 Ph: (951) 849-4761 | 11555 Potrero Rd Banning CA 92220-6946 Ph: (951) 849-4761 |
NPI Number | 1841417300 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1841417300 | NPI | - | NPPES |
EAPC03854F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
New Millenium Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950 Fax: 951-849-0080 | |
First Americans Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12359 Malki Rd, Banning, CA 92220 Phone: 951-922-2058 Fax: 888-551-2116 | |
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 | |