| Neighborhood Healthcare - Ray M Dickinson Wellness Center | |
|
425 N Date St Escondido CA 92025-3413 | |
| (760) 520-8330 | |
| (760) 737-9713 |
| Full Name | Neighborhood Healthcare - Ray M Dickinson Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 425 N Date St, 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 - Ray M Dickinson Wellness Center 215 S Hickory St Escondido CA 92025-4359 Ph: () - | Neighborhood Healthcare - Ray M Dickinson Wellness Center 425 N Date St Escondido CA 92025-3413 Ph: (760) 520-8330 |
| NPI Number | 1437335353 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 5294649406 |
|---|---|
| Medicare Enrollment ID | O20121012000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437335353 | NPI | - | NPPES |
| 55-1173 | Other | CA | MEDICARE PTAN |
| FHC70890F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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