| Unicare Community Health Center Inc | |
|
17500 Foothill Blvd Ste A2 Fontana CA 92335-3798 | |
| (909) 428-0170 | |
| Not Available |
| Full Name | Unicare Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17500 Foothill Blvd Ste A2, Fontana, California |
| Authorized Official Name and Position | Avetik Machkalyan (CHIEF EXECUTIVE OFFICER) |
| 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 17500 Foothill Blvd Ste A2 Fontana CA 92335-3798 Ph: (909) 428-0170 |
| NPI Number | 1003373812 |
|---|---|
| Provider Enumeration Date | 02/28/2019 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 8426369067 |
|---|---|
| Medicare Enrollment ID | O20190806003358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003373812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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