Winters Healthcare Clinic | |
172 E Grant Ave Winters CA 95694-1780 | |
(530) 795-4377 | |
(530) 795-9541 |
Full Name | Winters Healthcare Clinic |
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Speciality | Clinic/Center |
Location | 172 E Grant Ave, Winters, California |
Authorized Official Name and Position | Christopher Kelsch (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5307954377 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Winters Healthcare Clinic 172 E Grant Ave Winters CA 95694-1780 Ph: (530) 795-4377 | Winters Healthcare Clinic 172 E Grant Ave Winters CA 95694-1780 Ph: (530) 795-4377 |
NPI Number | 1992736086 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 08/19/2020 |
Medicare PECOS PAC ID | 2567490238 |
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Medicare Enrollment ID | O20050803000213 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992736086 | NPI | - | NPPES |
030000787 | Other | CA | STATE LICENSE |
HAP71037F | Medicaid | CA | |
ZZZ04589Z | Other | CA | MEDICARE PTAN |
2254671 | Other | CA | STATE CORPORATION NUMBER |
BCP71037F | Medicaid | CA | |
FHC71037F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |