| Waterford Community Health Center | |
|
12146 Yosemite Blvd Waterford CA 95386-9163 | |
| (209) 848-4138 | |
| (209) 848-7008 |
| Full Name | Waterford Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 12146 Yosemite Blvd, Waterford, California |
| Authorized Official Name and Position | Ann Croskrey (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2098484104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterford Community Health Center 350 S Oak Ave Oakdale CA 95361-3519 Ph: (209) 848-3011 | Waterford Community Health Center 12146 Yosemite Blvd Waterford CA 95386-9163 Ph: (209) 848-4138 |
| NPI Number | 1881030401 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 12/18/2020 |
| Medicare PECOS PAC ID | 5496736613 |
|---|---|
| Medicare Enrollment ID | O20140110001182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881030401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 030000069 (California) | Primary |
Krishnamoorthi M. D. Inc., A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 324 F St, Waterford, CA 95386 Phone: 209-874-2321 Fax: 209-874-3896 | |
Cedar Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12700 Welch St, Waterford, CA 95386 Phone: 209-874-2345 Fax: 209-874-3926 | |
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