| Sgmf Dale Road Care Center | |
|
3612 Dale Rd Modesto CA 95356-0500 | |
| (209) 524-1211 | |
| Not Available |
| Full Name | Sgmf Dale Road Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3612 Dale Rd, Modesto, California |
| Authorized Official Name and Position | Krista Lopes (SH VP, QUALITY, SAFETY AND PATIENT) |
| Authorized Official Contact | 9163847544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgmf Dale Road Care Center Po Box 255228 Sacramento CA 95865-5228 Ph: (209) 524-1211 | Sgmf Dale Road Care Center 3612 Dale Rd Modesto CA 95356-0500 Ph: (209) 524-1211 |
| NPI Number | 1851765184 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 04/25/2024 |
| Medicare PECOS PAC ID | 9830094515 |
|---|---|
| Medicare Enrollment ID | O20160601000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851765184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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