| Ventura County Healthcare For The Homeless Program | |
|
3147 Loma Vista Rd Ventura CA 93003-2917 | |
| (058) 652-6694 | |
| (805) 652-6298 |
| Full Name | Ventura County Healthcare For The Homeless Program |
|---|---|
| Speciality | Clinic/Center |
| Location | 3147 Loma Vista Rd, Ventura, California |
| Authorized Official Name and Position | Theresa Cho (DIRECTOR) |
| Authorized Official Contact | 8056775290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ventura County Healthcare For The Homeless Program 800 S Victoria Ave # L4615 Ventura CA 93009-0003 Ph: (805) 677-5210 | Ventura County Healthcare For The Homeless Program 3147 Loma Vista Rd Ventura CA 93003-2917 Ph: (058) 652-6694 |
| NPI Number | 1982983169 |
|---|---|
| Provider Enumeration Date | 08/05/2011 |
| Last Update Date | 07/19/2024 |
| Medicare PECOS PAC ID | 7911810171 |
|---|---|
| Medicare Enrollment ID | O20120514000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982983169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS00247 (California) | Primary |
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James F Mitchell Jr Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 Loma Vista Rd Ste 205, Ventura, CA 93003 Phone: 805-585-3086 | |
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