Nestor Community Health Center | |
1016 Outer Rd San Diego CA 92154-1351 | |
(619) 429-3733 | |
(619) 429-6457 |
Full Name | Nestor Community Health Center |
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Speciality | Clinic/Center |
Location | 1016 Outer Rd, San Diego, California |
Authorized Official Name and Position | Constance Kirk (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6194295387 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nestor Community Health Center Po Box 459 Imperial Beach CA 91933-0459 Ph: (619) 429-3733 | Nestor Community Health Center 1016 Outer Rd San Diego CA 92154-1351 Ph: (619) 429-3733 |
NPI Number | 1215246996 |
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Provider Enumeration Date | 09/29/2010 |
Last Update Date | 09/29/2010 |
Medicare PECOS PAC ID | 6709867880 |
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Medicare Enrollment ID | O20110602000200 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215246996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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