Community Medical Centers, Tracy Grant Line - Medicare Primary Care in Tracy, CA

Community Medical Centers, Tracy Grant Line is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Tracy, California. The current practice location for Community Medical Centers, Tracy Grant Line is 2151 W Grant Line Rd, Tracy, California. For appointments, you can reach them via phone at (209) 820-1500. The mailing address for Community Medical Centers, Tracy Grant Line is 7210 Murray Dr, Stockton, California and phone number is (209) 373-2800.

Community Medical Centers, Tracy Grant Line is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164919049. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (209) 820-1500.

Contact Information

Community Medical Centers, Tracy Grant Line
2151 W Grant Line Rd
Tracy
CA 95377-7309
(209) 820-1500
Not Available

Primary Care Clinic Profile

Full NameCommunity Medical Centers, Tracy Grant Line
SpecialityClinic/Center
Location2151 W Grant Line Rd, Tracy, California
Authorized Official Name and PositionChristine C Noguera (CEO)
Authorized Official Contact2033732831
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Community Medical Centers, Tracy Grant Line
7210 Murray Dr
Stockton
CA 95210-3339

Ph: (209) 373-2800
Community Medical Centers, Tracy Grant Line
2151 W Grant Line Rd
Tracy
CA 95377-7309

Ph: (209) 820-1500

NPI Details:

NPI Number1164919049
Provider Enumeration Date04/17/2018
Last Update Date04/17/2018

Medicare PECOS Information:

Medicare PECOS PAC ID8426968520
Medicare Enrollment IDO20180620001894

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Medical Identifiers

Medical identifiers for Community Medical Centers, Tracy Grant Line such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164919049NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

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Clinic/Center in Tracy, CA

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Phone: 209-835-8910    Fax: 209-835-8534
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Medicare: Not Enrolled in Medicare
Practice Location: 2160 W Grant Line Rd, Ste.230, Tracy, CA 95377
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Phone: 209-833-0525    Fax: 209-830-7361

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