Omni Family Health | |
3748 E Shields Ave Fresno CA 93726-7028 | |
(866) 707-6664 | |
(661) 746-9197 |
Full Name | Omni Family Health |
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Speciality | Clinic/Center |
Location | 3748 E Shields Ave, Fresno, 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 |
---|---|
Omni Family Health 4900 California Ave 400b Bakersfield CA 93309-7081 Ph: (661) 459-1900 | Omni Family Health 3748 E Shields Ave Fresno CA 93726-7028 Ph: (866) 707-6664 |
NPI Number | 1619481348 |
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Provider Enumeration Date | 11/16/2017 |
Last Update Date | 09/24/2024 |
Medicare PECOS PAC ID | 9234176363 |
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Medicare Enrollment ID | O20181205003228 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619481348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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