| |
320 James St Shafter CA 93263-2033 | |
(661) 459-1900 | |
(661) 459-1974 |
Full Name | |
---|---|
Speciality | Clinic/center - Community Health |
Location | 320 James St, Shafter, California |
Authorized Official Name and Position | Francisco L Castillon (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6616307050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4900 California Avenue 400b Bakersfield CA 93309-7081 Ph: (661) 459-1900 | 320 James St Shafter CA 93263-2033 Ph: (661) 459-1900 |
NPI Number | 1568682086 |
---|---|
Provider Enumeration Date | 04/26/2007 |
Last Update Date | 07/26/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568682086 | NPI | - | NPPES |
FHC70805F | Medicaid | CA | |
HAP70805F | Other | CA | FAMILY PACT |
PHA322610 | Medicaid | CA | |
ZZZ03011Z | Other | CA | MEDICARE PART B |
BCP70805F | Other | CA | BCDP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 050000524 (California) | Primary |
National Heath Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 S Central Valley Hwy, Shafter, CA 93263 Phone: 661-746-9194 Fax: 661-746-9197 | |
Clearview Optometry Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 E Lerdo Hwy # 200, Shafter, CA 93263 Phone: 661-746-6989 | |