| Unicare Community Health Center, Inc. | |
|
15863 Kasota Rd Apple Valley CA 92307-4507 | |
| (760) 946-1100 | |
| (760) 946-1069 |
| Full Name | Unicare Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 15863 Kasota Rd, Apple Valley, California |
| Authorized Official Name and Position | Kelly Hong Vo (EVP) |
| Authorized Official Contact | 9099882555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unicare Community Health Center, Inc. 437 N Euclid Ave Ontario CA 91762-3456 Ph: (909) 749-1835 | Unicare Community Health Center, Inc. 15863 Kasota Rd Apple Valley CA 92307-4507 Ph: (760) 946-1100 |
| NPI Number | 1699465732 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 8426369067 |
|---|---|
| Medicare Enrollment ID | O20231207000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699465732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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