COMMUNITY MEDICAL CENTERS NPI 1801887716

NPI Information

NPI: 1801887716
Provider Name: COMMUNITY MEDICAL CENTERS

Other Name: SAN ANDREAS CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
265 W SAINT CHARLES ST
# 3
SAN ANDREAS, CA
ZIP 95249
Phone: (209) 755-1400
Get Directions

COMMUNITY MEDICAL CENTERS is a federally qualified health center (fqhc) clinic center in San Andreas, CA. COMMUNITY MEDICAL CENTERS NPI is 1801887716. The provider is registered as an organization entity type.
The provider Other Name Is San Andreas Clinic.

The provider's business location address is:

265 W SAINT CHARLES ST
# 3
SAN ANDREAS, CA
ZIP 95249-618
Phone: (209) 755-1400
Fax: (209) 755-1430

The provider's authorized official is Paul B Wandel .
The authorized official title is Cfo and has the following contact phone number (209) 944-4710.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 8/22/2020.

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)		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	FHC70461F	MEDICAID	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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