Neighborhood Healthcare | |
308 W 6th St Ste 109 Corona CA 92882-3349 | |
(833) 867-4642 | |
Not Available |
Full Name | Neighborhood Healthcare |
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Speciality | Clinic/Center |
Location | 308 W 6th St Ste 109, Corona, California |
Authorized Official Name and Position | Rakesh R Patel (CEO) |
Authorized Official Contact | 7607378300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neighborhood Healthcare 425 N Date St Escondido CA 92025-3413 Ph: () - | Neighborhood Healthcare 308 W 6th St Ste 109 Corona CA 92882-3349 Ph: (833) 867-4642 |
NPI Number | 1821786724 |
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Provider Enumeration Date | 04/27/2023 |
Last Update Date | 04/27/2023 |
Medicare PECOS PAC ID | 5294649406 |
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Medicare Enrollment ID | O20231113001909 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821786724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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