Martinez Specialty Clinic | |
2500 Alhambra Ave Martinez CA 94553-3156 | |
(925) 957-5429 | |
Not Available |
Full Name | Martinez Specialty Clinic |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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 |
---|---|
Martinez Specialty Clinic 50 Douglas Dr Suite 391 Martinez CA 94553-4098 Ph: () - | Martinez Specialty Clinic 2500 Alhambra Ave Martinez CA 94553-3156 Ph: (925) 957-5429 |
NPI Number | 1942370762 |
---|---|
Provider Enumeration Date | 11/09/2006 |
Last Update Date | 04/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942370762 | NPI | - | NPPES |
FHC80131F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 140000090 (California) | Primary |
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