COMMUNITY MEDICAL CENTERS INC NPI 1699766519

NPI Information

NPI: 1699766519
Provider Name: COMMUNITY MEDICAL CENTERS, INC

Doing Business As: DIXON FAMILY PRACTICE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
131 W A ST STE 1
DIXON FAMILY PRACTICE
DIXON, CA
ZIP 95620
Phone: (707) 635-1600
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COMMUNITY MEDICAL CENTERS, INC is a federally qualified health center (fqhc) clinic center in Dixon, CA. COMMUNITY MEDICAL CENTERS, INC NPI is 1699766519. The provider is registered as an organization entity type.
The provider Is Doing Business As Dixon Family Practice.

The provider's business location address is:

131 W A ST STE 1
DIXON FAMILY PRACTICE
DIXON, CA
ZIP 95620-437
Phone: (707) 635-1600
Fax: (707) 635-1641

The provider's authorized official is Christine C Noguera .
The authorized official title is Ceo and has the following contact phone number (209) 373-2831.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 5/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	010000152	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FHC03864F	MEDICAID	CALIFORNIA
2	051830	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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