Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 565 Kern St, Shafter, California |
Authorized Official Name and Position | Vickie Williamson (OFFICE SUPERVISOR) |
Authorized Official Contact | 6617464937 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
565 Kern St Shafter CA 93263-2133 Ph: (661) 746-4937 | 565 Kern St Shafter CA 93263-2133 Ph: (661) 746-4937 |
NPI Number | 1073796843 |
---|---|
Provider Enumeration Date | 12/14/2007 |
Last Update Date | 06/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073796843 | NPI | - | NPPES |
RHM53819F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A38875 (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 | |