Organization · Type 2 NPI
Community Medical Centers, Inc.
Federally Qualified Health Center (FQHC) · Lodi, CA
NPI number
1659435279
Active
Practice location
721 Calaveras Street
Lodi, CA 95240-0628
Fax (209) 331-8018
Mailing address
PO Box 779
Stockton, CA 95201-0779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 0300000424 (CA) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1659435279
Community Medical Centers, Inc.'s National Provider Identifier is 1659435279, issued on Dec 20, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lodi, CA. The record was last updated on Dec 3, 2008.