| |
320 James St Shafter CA 93263-2033 | |
(866) 707-6664 | |
(661) 746-9197 |
Full Name | |
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Speciality | Clinic/Center |
Location | 320 James St, Shafter, 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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4900 California Ave 400b Bakersfield CA 93309-7081 Ph: (661) 459-1900 | 320 James St Shafter CA 93263-2033 Ph: (866) 707-6664 |
NPI Number | 1801804398 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 09/24/2024 |
Medicare PECOS PAC ID | 9234176363 |
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Medicare Enrollment ID | O20070227000660 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801804398 | NPI | - | NPPES |
BCP70805F | Other | CA | CDHS |
FHC70805F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 120000524 (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 | |