FAMILY HEALTHCARE OF CHOWCHILLA NPI 1013314046

NPI Information

NPI: 1013314046
Provider Name: FAMILY HEALTHCARE OF CHOWCHILLA
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 05D1105463

Address:
1300 ROBERTSON BLVD
CHOWCHILLA, CA
ZIP 93610
Phone: (209) 827-4747
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FAMILY HEALTHCARE OF CHOWCHILLA is a rural health clinic center in Chowchilla, CA. FAMILY HEALTHCARE OF CHOWCHILLA NPI is 1013314046. The provider is registered as an organization entity type.

The provider's business location address is:

1300 ROBERTSON BLVD
CHOWCHILLA, CA
ZIP 93610-633
Phone: (209) 827-4747
Fax: (209) 827-5831

The provider's authorized official is Pedro R Febres-roman .
The authorized official title is Owner/phycian and has the following contact phone number (209) 827-4747.

The CLIA number assigned to this NPI record is 05D1105463 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2014 and was last updated on 1/16/2015.

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	261QR1300X	Clinic/Center	Rural Health	A29593	CALIFORNIA	Yes

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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