Omni Family Health | |
3409 Calloway Dr Unit 300 Bakersfield CA 93312-2532 | |
(866) 707-6664 | |
(661) 746-9197 |
Full Name | Omni Family Health |
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Speciality | Clinic/Center |
Location | 3409 Calloway Dr, Bakersfield, California |
Authorized Official Name and Position | Francisco L Castillon (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6616307050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Omni Family Health 4900 California Ave Suite 400-b Bakersfield CA 93309-7081 Ph: (661) 459-1900 | Omni Family Health 3409 Calloway Dr Unit 300 Bakersfield CA 93312-2532 Ph: (866) 707-6664 |
NPI Number | 1841476686 |
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Provider Enumeration Date | 01/10/2008 |
Last Update Date | 09/23/2024 |
Medicare PECOS PAC ID | 9234176363 |
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Medicare Enrollment ID | O20080129000360 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841476686 | NPI | - | NPPES |
ZZZ06646Z | Other | CA | MEDICARE PART B |
051130 | Other | CA | MEDICARE PART A |
CLP 320413 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550001456 (California) | Primary |
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