Windy City Medical Clinic A Professional Corporation | |
525 Melissa Ave Ste A Barstow CA 92311-3002 | |
(760) 255-2400 | |
(760) 957-7517 |
Full Name | Windy City Medical Clinic A Professional Corporation |
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Speciality | Clinic/Center |
Location | 525 Melissa Ave Ste A, Barstow, California |
Authorized Official Name and Position | Kathy A Alva (BILLING OFFICE MANAGER) |
Authorized Official Contact | 7609577510 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Windy City Medical Clinic A Professional Corporation Po Box 1946 Barstow CA 92312-1946 Ph: (760) 255-2400 | Windy City Medical Clinic A Professional Corporation 525 Melissa Ave Ste A Barstow CA 92311-3002 Ph: (760) 255-2400 |
NPI Number | 1164567426 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 12/29/2014 |
Medicare PECOS PAC ID | 3971675927 |
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Medicare Enrollment ID | O20080708000298 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164567426 | NPI | - | NPPES |
00G778041 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (California) | Primary |
Provider Name | Kevin A Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386630895 PECOS PAC ID: 9537124607 Enrollment ID: I20041130001055 |
Provider Name | Brenna Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932195542 PECOS PAC ID: 1759422595 Enrollment ID: I20091230000624 |
Lawrence G. Krugman, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 E. Main St., Barstow, CA 92311 Phone: 760-256-6700 | |
Sac Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Mountain View St # 102, Barstow, CA 92311 Phone: 909-382-7100 Fax: 909-382-7101 | |
Barstow Indian Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Yucca Ave, Barstow, CA 92311 Phone: 760-256-9016 Fax: 760-256-7856 | |
Barstow Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 E Virginia Way, Suite F, Barstow, CA 92311 Phone: 760-256-1227 Fax: 760-256-1239 | |
Eminence Centers For Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 121 S 7th Ave, Barstow, CA 92311 Phone: 760-581-5600 | |
Dr Mike's Walk In Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 716 E Main St, Barstow, CA 92311 Phone: 760-256-6426 |