| Contra Costa Regional Medical Center Outpatient Medi-cal Ffs | |
|
2500 Alhambra Ave Martinez CA 94553-3156 | |
| (925) 370-5955 | |
| (925) 370-5275 |
| Full Name | Contra Costa Regional Medical Center Outpatient Medi-cal Ffs |
|---|---|
| Speciality | Clinic/center |
| Location | 2500 Alhambra Ave, Martinez, California |
| Authorized Official Name and Position | Patrick M. Godley (COO CFO) |
| Authorized Official Contact | 9259575405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Contra Costa Regional Medical Center Outpatient Medi-cal Ffs 50 Douglas Dr Ste 310e Martinez CA 94553-4003 Ph: () - | Contra Costa Regional Medical Center Outpatient Medi-cal Ffs 2500 Alhambra Ave Martinez CA 94553-3156 Ph: (925) 370-5955 |
| NPI Number | 1306912241 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 11/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306912241 | NPI | - | NPPES |
| HSP40276F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 140000090 (California) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
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