| Tracy Family Practice | |
|
730 Central Ave Tracy CA 95376-4104 | |
| (209) 870-1500 | |
| Not Available |
| Full Name | Tracy Family Practice |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 730 Central Ave, Tracy, California |
| Authorized Official Name and Position | Michael H Kirkpatrick (CEO) |
| Authorized Official Contact | 2093732833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Family Practice Po Box 779 Stockton CA 95201-0779 Ph: (209) 373-2814 | Tracy Family Practice 730 Central Ave Tracy CA 95376-4104 Ph: (209) 870-1500 |
| NPI Number | 1225156375 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225156375 | NPI | - | NPPES |
| HAP70462F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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