JOHN C FREMONT HEALTHCARE DISTRICT NPI 1124248901

NPI Information

  • NPI: 1124248901
  • Provider Name: JOHN C FREMONT HEALTHCARE DISTRICT
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: JOHN C FREMONT HEALTHCARE DISTRICT NORTH SIDE
  • CLIA Number: 05D1079394
  • Address: 6386 GREELEY HILL RD
    COULTERVILLE, CA
    ZIP 95311
  • Phone: (209) 966-3631

Map and Directions

Get Directions

NPI Details

JOHN C FREMONT HEALTHCARE DISTRICT is a family medicine in Coulterville, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JOHN C FREMONT HEALTHCARE DISTRICT NPI is 1124248901. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As John C Fremont Healthcare District North Side.

The provider's business location address is:

6386 GREELEY HILL RD
COULTERVILLE, CA
ZIP 95311-572
Phone: (209) 966-3631
Fax: (209) 966-3776

The provider's authorized official is Alan G Macphee .
The authorized official title is Chief Executive Officer and has the following contact phone number (209) 966-3631.

The CLIA number assigned to this NPI record is 05D1079394 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 1/7/2014.

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
1207Q00000XFamily Medicine040000108CALIFORNIAYes

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
1058637MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.