COMMUNITY MEDICAL CENTERS INC NPI 1285059923

NPI Information

NPI: 1285059923
Provider Name: COMMUNITY MEDICAL CENTERS, INC

Doing Business As: COMMUNITY MEDICAL CENTERS, WATERLOO

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1031 WATERLOO RD
STOCKTON, CA
ZIP 95205
Phone: (209) 940-5600
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COMMUNITY MEDICAL CENTERS, INC is a federally qualified health center (fqhc) clinic center in Stockton, CA. COMMUNITY MEDICAL CENTERS, INC NPI is 1285059923. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Medical Centers, Waterloo.

The provider's business location address is:

1031 WATERLOO RD
STOCKTON, CA
ZIP 95205-256
Phone: (209) 940-5600
Fax: (209) 940-5065

The provider's authorized official is Art Feagles .
The authorized official title is Cfo and has the following contact phone number (209) 373-2803.

The enumeration date for this NPI number is 3/4/2014 and was last updated on 6/16/2015.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	751148	MEDICARE OSCAR/CERTIFICATION	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: 4/28/2024

NPI Synchronization or Removal

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