| |
190 S Oak Ave Bldg.2-1 Oakdale CA 95361-3528 | |
(209) 848-8410 | |
(209) 848-0732 |
Full Name | |
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Speciality | Clinic/Center |
Location | 190 S Oak Ave, Oakdale, California |
Authorized Official Name and Position | Marc C Stoner (EXECUTIVE DIRECTOR/OWNER) |
Authorized Official Contact | 2098488410 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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190 S Oak Ave Bldg. 2-1 Oakdale CA 95361-3528 Ph: (209) 848-8410 | 190 S Oak Ave Bldg.2-1 Oakdale CA 95361-3528 Ph: (209) 848-8410 |
NPI Number | 1982797239 |
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Provider Enumeration Date | 10/01/2006 |
Last Update Date | 08/15/2013 |
Medicare PECOS PAC ID | 7911902853 |
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Medicare Enrollment ID | O20060927000185 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982797239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | NA (* (Not Available)) | Primary |
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