| |
416 Spring St Ste 201 Paso Robles CA 93446-3155 | |
(805) 238-7250 | |
(805) 238-0165 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 416 Spring St Ste 201, Paso Robles, California |
Authorized Official Name and Position | Ronald E Castle (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8053618014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2050 S Blosser Rd Santa Maria CA 93458-7310 Ph: (805) 361-8028 | 416 Spring St Ste 201 Paso Robles CA 93446-3155 Ph: (805) 238-7250 |
NPI Number | 1124045042 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 01/21/2019 |
Identifier | Type | State | Issuer |
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1124045042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 13th St, Paso Robles, CA 93446 Phone: 805-238-2665 Fax: 805-238-7422 | |
Joseph D Bettencourt Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 Golden Hill Rd, Suite 202, Paso Robles, CA 93446 Phone: 805-434-2240 Fax: 805-434-0102 |