Unicare Community Health Center, Inc. | |
1501 E Holt Ave Ste A Pomona CA 91767-5823 | |
(909) 623-3600 | |
(909) 623-3383 |
Full Name | Unicare Community Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 1501 E Holt Ave Ste A, Pomona, California |
Authorized Official Name and Position | Avetik Machkalyan (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9096233600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Unicare Community Health Center, Inc. 437 N Euclid Ave Ontario CA 91762-3456 Ph: (909) 988-2555 | Unicare Community Health Center, Inc. 1501 E Holt Ave Ste A Pomona CA 91767-5823 Ph: (909) 623-3600 |
NPI Number | 1356763155 |
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Provider Enumeration Date | 01/13/2014 |
Last Update Date | 01/21/2020 |
Medicare PECOS PAC ID | 8426369067 |
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Medicare Enrollment ID | O20151218001167 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356763155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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