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554-850 Medical Center Drive Bieber CA 96009 | |
(530) 999-9010 | |
(530) 294-5392 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 554-850 Medical Center Drive, Bieber, California |
Authorized Official Name and Position | Brandon Watkins (CFO) |
Authorized Official Contact | 5309999010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 277 Bieber CA 96009-0277 Ph: (530) 999-9010 | 554-850 Medical Center Drive Bieber CA 96009 Ph: (530) 999-9010 |
NPI Number | 1235310384 |
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Provider Enumeration Date | 11/16/2007 |
Last Update Date | 07/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235310384 | NPI | - | NPPES |
EAP03915F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |