| Neighborhood Healthcare - El Cajon | |
|
855 E Madison Ave El Cajon CA 92020-3819 | |
| (619) 440-2751 | |
| (619) 440-2945 |
| Full Name | Neighborhood Healthcare - El Cajon |
|---|---|
| Speciality | Clinic/Center |
| Location | 855 E Madison Ave, El Cajon, California |
| Authorized Official Name and Position | Rakesh Patel (CEO) |
| Authorized Official Contact | 7605208300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Healthcare - El Cajon 425 N Date St Escondido CA 92025-3413 Ph: (760) 737-2035 | Neighborhood Healthcare - El Cajon 855 E Madison Ave El Cajon CA 92020-3819 Ph: (619) 440-2751 |
| NPI Number | 1760667950 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 04/16/2020 |
| Medicare PECOS PAC ID | 5294649406 |
|---|---|
| Medicare Enrollment ID | O20110218000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760667950 | NPI | - | NPPES |
| FHC12076G | Medicaid | CA | |
| BCP12076G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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