COMMUNITY MEDICAL CENTERS INC. NPI 1538223375

NPI Information

  • NPI: 1538223375
  • Provider Name: COMMUNITY MEDICAL CENTERS, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 1721 E HAMMER LN
    SUITE A
    STOCKTON, CA
    ZIP 95210
  • Phone: (209) 751-5200

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NPI Details

COMMUNITY MEDICAL CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Stockton, CA. COMMUNITY MEDICAL CENTERS, INC. NPI is 1538223375. The provider is registered as an organization entity type.

The provider's business location address is:

1721 E HAMMER LN
SUITE A
STOCKTON, CA
ZIP 95210-116
Phone: (209) 751-5200
Fax: (209) 751-5252

The provider's authorized official is Michael H. Kirkpatrick .
The authorized official title is Chief Executive Officer and has the following contact phone number (209) 373-2833.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 5/5/2010.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)550000238CALIFORNIAYes

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
11538223375MEDICAIDCALIFORNIA
2051083MEDICARE UPINCALIFORNIA

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

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