| Neighborhood Healthcare - Grand Ave | |
|
1001 E Grand Ave Escondido CA 92025-4604 | |
| (760) 520-8200 | |
| (760) 737-5490 |
| Full Name | Neighborhood Healthcare - Grand Ave |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 E Grand Ave, Escondido, 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 - Grand Ave 425 N Date St Escondido CA 92025-3413 Ph: (760) 737-2035 | Neighborhood Healthcare - Grand Ave 1001 E Grand Ave Escondido CA 92025-4604 Ph: (760) 520-8200 |
| NPI Number | 1487826772 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 04/16/2020 |
| Medicare PECOS PAC ID | 5294649406 |
|---|---|
| Medicare Enrollment ID | O20080505000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487826772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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