| Samahan Health Centers | |
|
10737 Camino Ruiz Suite 235 San Diego CA 92126-2359 | |
| (858) 578-4220 | |
| (858) 578-4417 |
| Full Name | Samahan Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 10737 Camino Ruiz, San Diego, California |
| Authorized Official Name and Position | Archie Bella (CEO) |
| Authorized Official Contact | 7189869228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samahan Health Centers 10737 Camino Ruiz Suite 235 San Diego CA 92126-2359 Ph: (858) 578-4220 | Samahan Health Centers 10737 Camino Ruiz Suite 235 San Diego CA 92126-2359 Ph: (858) 578-4220 |
| NPI Number | 1871680397 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 06/01/2022 |
| Medicare PECOS PAC ID | 7911932645 |
|---|---|
| Medicare Enrollment ID | O20061017000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871680397 | NPI | - | NPPES |
| EAP70250F | Other | CA | MEDICAID |
| W9341A | Other | CA | MEDICARE GROUP PROVIDER |
| EAP12036F | Other | CA | MEDICAID |
| ZZT12036F | Other | CA | MEDICAID |
| 64 | Other | CA | COUNTY MEDICAL SERVICES |
| FHC12036F | Other | CA | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 080000146 (California) | Primary |
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