Organization · Type 2 NPI

Antelope Valley Community Clinic

Federally Qualified Health Center (FQHC) · Palmdale, CA

NPI number 1346563673 Active

Practice location

2151 E Palmdale Blvd
Palmdale, CA 93550-4037

Call (661) 575-0009 Map

Fax (661) 575-0015

Mailing address

45074 10th Street West, Suite 109
Lancaster, CA 93534-2382

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	550001129 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

17 other providers at this address

Other federally qualified health center (fqhc) providers in Palmdale

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NPI record

NPI: 1346563673
Entity type: Organization (Type 2)
Issued: Mar 1, 2010
Last updated: Jul 6, 2011
Status: Active
Subpart: Yes of Antelope Valley Community Clinic

Other names

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Antelope Valley Community Clinic-Palmdale · doing business as

Authorized official

Mr. James A. Cook
CEO
(661) 942-2391

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346563673

Antelope Valley Community Clinic's National Provider Identifier is 1346563673, issued on Mar 1, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Palmdale, CA. The record was last updated on Jul 6, 2011.