Full Name | |
---|---|
Speciality | General Acute Care Hospital |
Location | 2300 7th St, Wasco, California |
Authorized Official Name and Position | David Butler (PRESIDENT) |
Authorized Official Contact | 6617215209 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1401 Garces Hwy Delano CA 93215-3690 Ph: (661) 725-4800 | 2300 7th St Wasco CA 93280-1585 Ph: (661) 758-4187 |
NPI Number | 1639207343 |
---|---|
Provider Enumeration Date | 03/02/2007 |
Last Update Date | 10/25/2021 |
Medicare PECOS PAC ID | 1254248016 |
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Medicare Enrollment ID | O20020918000013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639207343 | NPI | - | NPPES |
RHM08539F | Medicaid | CA | |
HAP08539F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
282N00000X | General Acute Care Hospital | 120000180 (California) | Primary |
Valley Medical Group Of Kern County, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1147 7th St, Wasco, CA 93280 Phone: 661-758-2449 | |
Vanguard Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 7th St, Wasco, CA 93280 Phone: 661-459-1001 | |