Piru Family Medical Center Fqhc | |
4061 Center St Piru CA 93040 | |
(805) 521-0960 | |
Not Available |
Full Name | Piru Family Medical Center Fqhc |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 4061 Center St, Piru, California |
Authorized Official Name and Position | Narcisa B Egan (CFO) |
Authorized Official Contact | 8056775140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Piru Family Medical Center Fqhc 2323 Knoll Dr 4th Floor Ventura CA 93003-7307 Ph: (805) 677-5373 | Piru Family Medical Center Fqhc 4061 Center St Piru CA 93040 Ph: (805) 521-0960 |
NPI Number | 1992947725 |
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Provider Enumeration Date | 03/25/2009 |
Last Update Date | 08/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992947725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS00247-06-03 (California) | Primary |
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