Lifelong Medical Care Richmond Clinic | |
2400 Nevin Ave Richmond CA 94804-1700 | |
(510) 215-5001 | |
(510) 215-1115 |
Full Name | Lifelong Medical Care Richmond Clinic |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2400 Nevin Ave, Richmond, California |
Authorized Official Name and Position | Rick Clark (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5109814122 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifelong Medical Care Richmond Clinic Po Box 11247 Berkeley CA 94712-2247 Ph: (510) 215-5001 | Lifelong Medical Care Richmond Clinic 2400 Nevin Ave Richmond CA 94804-1700 Ph: (510) 215-5001 |
NPI Number | 1699029330 |
---|---|
Provider Enumeration Date | 11/02/2012 |
Last Update Date | 11/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699029330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
News Archive
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