| Woodlake Family Health Center | |
|
180 E Antelope Ave Woodlake CA 93286-1506 | |
| (559) 564-3538 | |
| (559) 564-8411 |
| Full Name | Woodlake Family Health Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 180 E Antelope Ave, Woodlake, California |
| Authorized Official Name and Position | Walter Reid (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5595643538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlake Family Health Center 180 E Antelope Ave Woodlake CA 93286-1506 Ph: (559) 564-3538 | Woodlake Family Health Center 180 E Antelope Ave Woodlake CA 93286-1506 Ph: (559) 564-3538 |
| NPI Number | 1396873618 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396873618 | NPI | - | NPPES |
| RHM03871F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (California) | Primary |
Clinica El Lago Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Palm St, Woodlake, CA 93286 Phone: 559-564-1100 Fax: 559-564-1101 |