| United Health Centers Of The San Joaquin Valley | |
|
2497 Herndon Ave Ste 103 Clovis CA 93611-8977 | |
| (800) 492-4227 | |
| Not Available |
| Full Name | United Health Centers Of The San Joaquin Valley |
|---|---|
| Speciality | Clinic/Center |
| Location | 2497 Herndon Ave Ste 103, Clovis, California |
| Authorized Official Name and Position | Mary Lou Lopez (DIRECTOR OF CENTRAL OPERATIONS) |
| Authorized Official Contact | 5596466618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Health Centers Of The San Joaquin Valley 3875 W Beechwood Ave Fresno CA 93711-0795 Ph: (800) 492-4227 | United Health Centers Of The San Joaquin Valley 2497 Herndon Ave Ste 103 Clovis CA 93611-8977 Ph: (800) 492-4227 |
| NPI Number | 1992322119 |
|---|---|
| Provider Enumeration Date | 07/03/2020 |
| Last Update Date | 07/03/2020 |
| Medicare PECOS PAC ID | 5991727802 |
|---|---|
| Medicare Enrollment ID | O20220215001309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992322119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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